Effects of training and simulated combat stress on leg tourniquet application accuracy, time, and effectiveness

Military Medicine

Volumn 179, Issue 2, 2014, Pages 114-120

  Schreckengaust, Richard ^a   Littlejohn, Lanny ^a   Zarow, Gregory J ^b  

^a Naval Medical Center Portsmouth   (United Kingdom)

^b The Emergency Statistician   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CLINICAL COMPETENCE; EDUCATION; FOOT; HUMAN; LEG; MEDICINE; MENTAL STRESS; PHYSIOLOGICAL STRESS; PULSE RATE; RESCUE PERSONNEL; SOLDIER; TIME; TOURNIQUET; TREATMENT FAILURE; VASCULARIZATION; WAR;

CLINICAL COMPETENCE; EDUCATION, NONPROFESSIONAL; EMERGENCY MEDICAL TECHNICIANS; FOOT; HUMANS; LEG; MILITARY PERSONNEL; NAVAL MEDICINE; PULSE; STRESS, PHYSIOLOGICAL; STRESS, PSYCHOLOGICAL; TIME FACTORS; TOURNIQUETS; TREATMENT FAILURE; WAR;

EID: 84924709164     PISSN: 00264075     EISSN: 1930613X     Source Type: Journal    
DOI: 10.7205/MILMED-D-13-00311     Document Type: Article

References (15)

1. Taylor DM, Vater GM, Parker PJ: An evaluation of two tourniquet systems for the control of prehospital lower limb hemorrhage. J Trauma 2011; 71: 591–5.
2. Kragh JF Jr, Walters TJ, Baer DG, et al: Practical use of emergency tourniquets to stop bleeding in major limb trauma. J Trauma 2008; 64(2 Suppl): S38–49.
3. Kragh JF Jr, Walters TJ, Baer DG, et al: Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg 2009; 249: 1–7.
4. Walters TJ, Wenke JC, Kauvar DS, et al: Effectiveness of self-applied tourniquets in human volunteers. Prehosp Emerg Care 2005; 9: 416–22.
5. Eastridge BJ, Mabry RL, Seguin P, et al: Deaths on the battlefield (2001–2011): implications for the future combat casualty care. J Trauma Acute Care Surg 2012; 73(Suppl 5): S431–7.
6. Devlin JJ, Kircher SJ, Littlejohn LF: Models for hemostatic agent testing: control versus fidelity. J Trauma 2009; 67(3): 677–8.
7. Hill JP, Montgomery LD, Hopper KW, Roy LA: Evaluation of Self-applied Tourniquets for Combat Applications, Second Phase. Technical Report 2007 NEDU TR 07-07. Panama City, FL, Navy Experimental Diving Unit. Available at http://www.gohandh.com/wp-content/uploads/ 2010/06/TQKREPT2007.pdf.
8. King DR, van der Wilden G, Kragh JF Jr, Blackbourne LH: Forward assessment of 79 prehospital battlefield tourniquets used in the current war. J Spec Oper Med 2012; 12(4): 33–8.
9. Childers R, Tolentino JC, Leasiolagi J, et al: Tourniquets exposed to the Afghanistan combat environment have decreased efficacy and increased breakage compared to unexposed tourniquets. Mil Med 2011; 176: 1400–3.
10. Weppner J, Lang M, Sunday R, et al: Efficacy of tourniquets exposed to the Afghanistan combat environment stored in individual first aid kits versus on the exterior of plate carriers. Mil Med 2013; 178: 334–7.
11. Kotwal RS, Montgomery HR, Kotwal BM, et al: Eliminating preventable death on the battlefield. Arch Surg 2011; 146(12): 1350–8.
12. Lakstein D, Blumenfield A, Sokolov T, et al: Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience. J Trauma 2003; 54: S221–5.
13. Calkins D, Snow C, Costello M, Bentley TB: Evaluation of possible battlefield tourniquet systems for the far-forward setting. Mil Med 2000; 165: 379–84.
14. Excerpts from the Tourniquet Working Group Members minutes of March 23, 2010. J Spec Oper Med 2010; 10(3): 87–9.
15. Wenke JC, Walters TJ, Greydanus DJ, et al: Physiological evaluation of the U.S. Army one-handed tourniquet. Mil Med 2005; 170(9): 776–81.