Tourniquet Use in a Civilian Emergency Medical Services Setting: A Descriptive Analysis of the Boston EMS Experience

Prehospital Emergency Care

Volumn 19, Issue 3, 2015, Pages 399-404

  Kue, Ricky C ^a,b   Temin, Elizabeth S ^c   Weiner, Scott G ^c   Gates, Jonathan ^c   Coleman, Melissa H ^c   Fisher, Jonathan ^c   Dyer, Sophia ^a,b  

^a Boston Emergency Medical Services   (United States)

^b BOSTON MEDICAL CENTER   (United States)

^c HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Emergency medical services; Hemorrhage; Tourniquet; Trauma

Indexed keywords

ADOLESCENT; ADULT; AGED; EMERGENCY HEALTH SERVICE; FEMALE; HEMORRHAGE; HUMAN; MALE; MEDICAL AUDIT; MIDDLE AGED; RETROSPECTIVE STUDY; TOURNIQUET; UNITED STATES; UTILIZATION; VERY ELDERLY; YOUNG ADULT;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; BOSTON; EMERGENCY MEDICAL SERVICES; FEMALE; HEMORRHAGE; HUMANS; MALE; MEDICAL AUDIT; MIDDLE AGED; RETROSPECTIVE STUDIES; TOURNIQUETS; YOUNG ADULT;

EID: 84932157520     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2014.995842     Document Type: Article

References (20)

1. Kragh JF, Swan KG, Smith DC, Mabry RL, Blackbourne LH. Historical review of emergency tourniquet use to stop bleeding. Am J Surg. 2012;203:242-52.
2. Walters TJ, Mabry RL. Issues related to the use of tourniquets on the battlefield. Mil Med. 2005;170:770-5.
3. Clasper JC, Brown KV, Hill P. Limb complications following pre-hospital tourniquet use. J R Army Med Corps. 2009;155:200-2.
4. Kragh JF, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, Holcomb JB. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009;249:1-7.
5. Kragh JF, Littrel ML, Jones JA, Walters TJ, Baer DG, Wade CE, Holcomb JB. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011;41:590-7.
6. Kotwal RS, Montgomery HR, Kotwal BM, Champion HR, Butler FK, Mabry RL, Cain JS, Blackbourne LH, Mechler KK, Holcomb JB. Eliminating preventable death on the battlefield. Arch Surg. 2011;146:1350-8.
7. Beekley AC, Sebesta JA, Blackbourne LH, Herbert GS, Kauvar DS, Baer DG, Walters TJ, Mullenix PS, Holcomb JB. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. J Trauma. 2008;64:S28-S37.
8. Lee C, Porter KM, Hodgetts TJ. Tourniquet use in the civilian prehospital setting. Emerg Med J. 2007;24:584-7.
9. Doyle GS, Taillac PP. Tourniquets: a review of current use with proposals for expanded prehospital use. Prehosp Emerg Care. 2008;12:241-56.
10. Middleton TA. Lessons from the battlefield: how technologies and techniques proving themselves in combat care may benefit patients of civilian EMS. EMS Mag. 2009;38:57-64.
11. Kalish J, Burke P, Feldman J, Agarwal S, Glanz A, Moyer P, Serino R, Hirsch E. The return of tourniquets: original research evaluates the effectiveness of prehospital tourniquets for civilian penetrating extremity injuries. JEMS. 2008;33:44-6, 49-50, 52, 54.
12. King DR, van der Wilden G, Kragh JF, Blackbourne LH. Forward assessment of 79 prehospital battlefield tourniquets used in the current war. J Spec Oper Med. 2012;12:33-8.
13. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde J. Research electronic data capture (REDCap) - a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009:42; 377-81.
14. King RB, Filips D, Blitz S, Logsetty S. Evaluation of possible tourniquet systems for use in the Canadian Forces. J Trauma. 2006:60;1061-71.
15. Wall PL, Duevel DC, Hassan MB, Welander JD, Sahr SM, Buising CM. Tourniquets and occlusion: the pressure of design. Mil Med. 2013:178;578-87.
16. Jacobs L, McSwain N, Rotondo M, Wade D, Fabbri W, Eastman A, Butler F, Sinclair J. Improving survival from active shooter events: the Hartford consensus. J Trauma Acute Care Surg. 2013;74:1399-400.
17. Smith ER, Iselin B. Toward the sound of shooting: Arlington County, VA rescue task force represents a new medical response model to active shooter incidents. JEMS. 2009;34: 48-55.
18. Callaway D, Smith R, Shapiro G, Cain J, McKay S, Mabry R. The committee for tactical emergency care (C-TECC): evolution and application of TCCC guidelines to civilian high threat medicine. J Spec Ops Med. 2011;11:95-100.
19. Biddinger PD, Baggish A, Harrington L, d'Hemecourt P, Hooley J, Jones J, Kue R, Troyanos C, Dyer KS. Be prepared - the Boston Marathon and mass casualty events. New Engl J Med. 2013;368:1958-60.
20. Bulger EM, Snyder D, Schoelles K, Gotschall C, Dawson D, Land E, Sanddal ND, Butler FK, Fallat M, Taillac P, White L, Salomone JP, Seifarth W, Betzner MJ, Johannigman J, McSwain N. An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014;18: 163-73.