Page 37 - JSOM Fall 2021

based solely on physics considerations and suggestive pres- 4. Wall PL, Buising CM, Hingtgen E, Smith H, Renner CH. Cloth-
sure data from model setups can completely fail to translate ing effects on limb tourniquet application. J Spec Oper Med.
to pressure improvements when used by humans on humans. 2020;20(2):83–94.
Model setups are useful, but this study reinforces the fact that 5. Wall PL, Buising CM, Donovan S, McCarthy C, Smith K, Renner
CH. Best tourniquet holding and strap pulling technique. J Spec
findings with emergency-use limb tourniquet model setups do Oper Med. 2019;19(2):48–56.
not always match findings with human limb applications. 6. Hingtgen E, Wall P, Buising C. Characterizing a system for mea-
suring limb tourniquet pressures. J Spec Oper Med. 2020;20(1):
Disclosures 47–54.
Neither of the authors has any financial relationships relevant 7. Kragh JF Jr, O’Neill ML, Walters TJ, et al. The military emer-
to this article to disclose, and there was no outside funding. gency tourniquet program’s lessons learned with devices and de-
signs. Mil Med. 2011;176(10):1144–1152.
Both are paid by their respective institutions. Neither has any 8. Kragh JF Jr, Burrows S, Wasner C, et al. Analysis of recovered
stock in any tourniquet companies, and neither does paid con- tourniquets from casualties of Operation Enduring Freedom and
sulting with any tourniquet companies. The authors talk to Operation New Dawn. Mil Med. 2013;178(7):806–810.
and share data with any and all organizations and individuals 9. Polston RW, Clumpner BR, Kragh JF Jr, et al. No slackers in tour-
who are interested and will not keep any secrets. The labora- niquet use to stop bleeding. J Spec Oper Med. 2013;13(2):12–19.
tory equipment belongs to Drake University and UnityPoint 10. Taylor DM, Vater GM, Parker PJ. An evaluation of two tourni-
Health Iowa Methodist Medical Center. The tourniquets were quet systems for the control of prehospital lower limb hemor-
rhage. J Trauma. 2011;71(3):591–595.
requested from and donated by m2 inc. 11. Slaven SE, Wall PL, Rinker JH, et al. Initial tourniquet pressure
does not affect tourniquet arterial occlusion pressure. J Spec Oper
Author Contributions Med. 2015;15(1):39–49.
Both authors contributed to all aspects of the project: concept 12. Wall PL, Weasel J, Rometti M, et al. Pressures under 3.8cm,
development; project design; the acquisition, analysis, and in- 5.1cm, and side-by-side 3.8cm-wide tourniquets. J Spec Oper
Med. 2016;16(2):28–35.
terpretation of data; and the drafting and revising of the man- 13. Wall PL, Buising CM, Nelms D, et al. Effects of distance between
uscript. Both authors had final approval of this manuscript. paired tourniquets. J Spec Oper Med. 2017;17(4):37–44.
14. Wall PL, Coughlin O, Rometti M, et al. Tourniquet pressures:
strap width and tensioning system widths. J Spec Oper Med.
References
1. Ratcheting Medical Tourniquet Instructions. Winooski, VT: m2 Inc; 2014;14(4):19–29.
2011. https://m2inc.biz/product/ratcheting-medical-tourniquet-rmt 15. Wall PL, Buising CM, Sahr SM. Review: getting tourniquets right
-tactical/ Accessed 30 June 2021. = getting tourniquets tight. J Spec Oper Med. 2019;19(3):52–63.
2. Wall P. Tactical RMT application with pressures [video]. https:// 16. Wall PL, Duevel DC, Hassan MB, Welander JD, Sahr SM, Buis-
vimeo.com/312437872. Accessed February 16, 2021. ing CM. Tourniquets and occlusion: the pressure of design. Mil
3. Valliere MJ, Wall PL, Buising CM. From pull to pressure: effects Med. 2013;178(5):578–587.
of tourniquet buckles and straps. J Am Coll Surg. 2018;227(3):
332–345.

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