Page 17 - JSOM Summer 2020

2013;13(3):92–97 2015;15(1):32–38
Operator Training and TEMS Support: A Survey of Unit Lead- Laboratory Testing of Emergency Tourniquets Exposed to
ers in Northern and Central California Young JB, Galante JM, Prolonged Heat Davinson JP, Kragh JF Jr, Aden JK 3rd, et al.
Sena MJ
ABSTRACT Conclusion: Heat exposure was not associated
with tourniquet damage, inability to gain hemorrhage control,
2013;13(4):76–84
or inability to stop the distal pulse.
U.S. Military Experience with Junctional Wounds in War from
2001 to 2010 Kragh JF Jr, Dubick MA, Aden JK 3rd, et al. 2015;15(1):39–49
Initial Tourniquet Pressure Does Not Affect Tourniquet Arte-
2013;13(4):94–107
rial Occlusion Pressure Slaven SE, Wall PL, Rinker JH, et al.
Tactical Emergency Casualty Care – Pediatric Appendix: ABSTRACT Conclusions: Achieving high initial strap tension
Novel Guidelines for the Care of the Pediatric Casualty in is desirable to minimize windlass turns or ratcheting buckle
the High-Threat, Prehospital Environment Bobko J, Lai TT, travel distance required to reach arterial occlusion, but does
Smith ER, et al.
not affect tourniquet surface-applied pressure needed for arte-
rial occlusion. For same-width, nonelastic strap-based tourni-
2014;14(1):26–29
quets, differences in the mechanical advantage system may be
Emergency Tourniquet Effectiveness in Four Positions on the unimportant to final tourniquet-applied pressure needed for
Proximal Thigh Kragh JF Jr, Wallum TE, Aden JK 3rd, et al. arterial occlusion.

2014;14(1):40–44 2015;15(2):42–46
Prehospital Emergency Care: Evaluation of the Junctional Role of the Windlass in Improvised Tourniquet Use on a Man-
Emergency Tourniquet Tool with a Perfused Cadaver Model ikin Hemorrhage Model Altamirano MP, Kragh JF Jr, Aden
Gates KS, Baer L, Holcomb JB JK 3rd, et al.
ABSTRACT Conclusions: Improvised strap-and-windlass tour-
2014;14(2):21–25
niquets were more effective than those with no windlass, as a
Safety and Effectiveness Evidence of SAM Junctional Tourni- windlass allowed the user to gain mechanical advantage. How-
®
quet to Control Inguinal Hemorrhage in a Perfused Cadaver ever, improvised strap-and-windlass tourniquets failed to con-
Model Johnson JE, Sims RK, Hamilton DJ, et al. trol hemorrhage in 32% of tests.
2014;14(3):7–11 2015;15(2):48–53
Another Civilian Life Saved by Law Enforcement-Applied Prehospital Use of Hemostatic Bandages and Tourniquets:
Tourniquets Robertson J, McCahill P, Riddle A, et al. Translation from Military Experience to Implementation in
Civilian Trauma Care Zietlow JM, Zietlow SP, Morris DS,
2014;14(3):58–63 et al.
Testing of Junctional Tourniquets by Military Medics to Con- ABSTRACT Conclusion: Civilian prehospital use of tourni-
trol Simulated Groin Hemorrhage Kragh JF Jr, Parsons DL, quets and hemostatic gauze is feasible and effective at achiev-
Kotwal RS, et al. ing hemostasis. Online and practical training programs result
in proficiency of skills, which can be maintained despite infre-
2014;14(4):11–17 quent use.
Prehospital Analgesia With Ketamine for Combat Wounds: A 2015;15(3):81–85
Case Series Fisher AD, Rippee B, Shehan H, et al.
Tourniquet Conversion: A Recommended Approach in the
2014;14(4):19–29 Prolonged Field Care Setting Drew B, Bird D, Matteucci M,
et al.
Tourniquet Pressures: Strap Width and Tensioning System
Widths Wall PL, Coughlin O, Rometti M, et al. ABSTRACT Life-saving interventions take precedence over
diagnostic maneuvers in the Care Under Fire stage of Tactical
Combat Casualty Care. The immediate threat to life with an
actively hemorrhaging extremity injury is addressed with the
TOURNIQUETS/HEMORRHAGE liberal and proper use of tourniquets. The emphasis on hemor-
CONTROL ARTICLES, NOW rhage control has and will continue to result in the application
of tourniquets that may not be needed past the Care Under
Because full abstracts are readily available via PubMed, only Fire stage. As soon as tactically allowable, all tourniquets
the Conclusion section of each structured abstract is shown. must be reassessed for conversion. Reassessment of all tour-
niquets should occur as soon as the tactical situation permits,
2015;15(1):17–31 but no more than 2 hours after initial placement. This article
describes a procedure for qualified and trained medical per-
Optimizing the Use of Limb Tourniquets in Tactical Combat sonnel to safely convert extremity tourniquets to local wound
Casualty Care: TCCC Guidelines Change 14-02 Shackelford dressings, using a systematic process in the field setting.
S, Butler FK, Kragh JF Jr, et al.

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