Page 51 - JSOM Winter 2019

TABLE 89 Tourniquet Scoring Chart

GREEN = Meets Criteria Requirements; AMBER = Acceptable Criteria Requirements with caveats or concerns;
RED = Does not meet Criteria Requirements

References 13. Rometti MR, Wall PL, Buising CM, et al. Significant pressure loss
1. Walters TJ, Wenke JC, Kauvar DS, et al. Effectiveness of self- occurs under tourniquets within minutes of application. J Spec
applied tourniquets in human volunteers. Prehosp Emerg Care. Oper Med. 2016;16(4):15–26.
2005;9(4):416–422. 14. Wall PL, Sahr SM, Buising CM. Different width and tightening
2. Walters TJ, Mabry RL. Issues related to the use of tourniquets on system: emergency tourniquets on distal limb segments. J Spec
the battlefield. Mil Med. 2005;170(9):770–775. Oper Med. 2015;15(4):28–38.
3. Fisher AD, Bulger EM, Gestring ML. Stop the bleeding: educat- 15. Gordon CC, Blackwell CL, Bradtmiller B, et al. 2012 Anthropo-
ing the public. JAMA. 2018;320(6):589–590. metric Survey of U.S. Army Personnel—Methods and Summary
4. Kragh JF, Jr., Walters TJ, Westmoreland T, et al. Tragedy into Statistics. Natick, MA: U.S. Army Natick Soldier Research, De-
drama: an American history of tourniquet use in the current war. velopment and Engineering Center; 2014. NATICK/TR-15/007.
J Spec Oper Med. 2013;13(3):5–25. 16. Alterie J, Dennis AJ, Baig A, et al. Does pain have a role when it
5. Calkins D, Snow C, Costello M, et al. Evaluation of possible bat- comes to tourniquet training? J Spec Oper Med. 2018;18(3):71–74.
tlefield tourniquet systems for the far-forward setting. Mil Med. 17. Kragh JF Jr, Aden JK 3rd, Lambert CD, et al. Assessment of user,
2000;165(5):379–384. glove, and device effects on performance of tourniquet use in sim-
6. Kragh JF Jr, O’Neill ML, Walters TJ, et al. The Military Emer- ulated first aid. J Spec Oper Med. 2017;17(4):29–36.
gency Tourniquet Program’s lessons learned with devices and de- 18. Kragh JF Jr, Moore VK 3rd, Aden JK 3rd, et al. Short report
signs. Mil Med. 2011;176(10):1144–1152. comparing Generation 6 versus Prototype Generation 7 Combat
®
7. Dory RE, Cox DD, Endler BM. Test and evaluation of New York Application Tourniquet in a manikin hemorrhage model. J Spec
City Industries for the Blind Tourniquets—phase 1. In: Naval Oper Med. 2016;16(1):14–17.
Medical Research Unit–San Antonio. Fort Sam Houston, TX: Ex- 19. Dory RE, Cox DD, Endler BM. Joint Operational Evaluation of
peditionary and Trauma Medicine Department Combat Casualty Field Tourniquets (JOEFT)—phase IIIA. In: Naval Medical Re-
Care and Operational Medicine Directorate; 2014. search Unit–San Antonio. Fort Sam Houston, TX: Expeditionary
8. Meiburger KM, Acharya UR, Molinari F. Automated localization and Trauma Medicine Department Combat Casualty Care and
and segmentation techniques for B-mode ultrasound images: a Operational Medicine Directorate; 2016.
review. Comput Biol Med. 2018;92:210–235. 20. O’Conor DK, Kragh JF Jr, Aden JK 3rd, et al. Cat on a Hot Tin
9. Tjardes T, Luecking M. The Platinum 5 min in TCCC: analysis of Roof: mechanical testing of models of tourniquets after environ-
junctional and extremity hemorrhage scenarios with a mathemat- mental exposure. J Spec Oper Med. 2017;17(1):27–35.
ical model. Mil Med. 2018;183(5–6):e207–e215. 21. Gibson R, Housler GJ, Rush SC, et al. Preliminary comparison
10. Kragh JF Jr, Burrows S, Wasner C, et al. Analysis of recovered of new and established tactical tourniquets in a manikin hemor-
tourniquets from casualties of Operation Enduring Freedom and rhage model. J Spec Oper Med. 2016;16(1):29–35.
Operation New Dawn. Mil Med. 2013;178(7):806–810. 22. Gibson R, Aden JK 3rd, Dubick MA, et al. Preliminary com-
11. Shackelford SA, Butler FK, Kragh JF Jr, et al. Optimizing the use parison of pneumatic models of tourniquet for prehospital con-
of limb tourniquets in Tactical Combat Casualty Care: TCCC trol of limb bleeding in a manikin model. J Spec Oper Med.
Guidelines Change 14-02. J Spec Oper Med. 2015;15(1):17–31. 2016;16(2):21–27.
12. Wall PL, Coughlin O, Rometti M, et al. Tourniquet pressures: 23. Davinson JP, Kragh JF Jr, Aden JK 3rd, et al. Laboratory testing
strap width and tensioning system widths. J Spec Oper Med. of emergency tourniquets exposed to prolonged heat. J Spec Oper
2014;14(4):19–29. Med. 2015;15(1):34–38.

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