Law enforcement-applied tourniquets: A case series of life-saving interventions

Prehospital Emergency Care

Volumn 19, Issue 2, 2015, Pages 320-327

  Callaway, David W ^a   Robertson, Joshua ^a   Sztajnkrycer, Matthew D ^b  

^a CAROLINAS MEDICAL CENTER   (United States)

^b MAYO CLINIC   (United States)

Author keywords

Hemorrhage control; Law enforcement; Prehospital; Tactical emergency casualty care; Tourniquet

Indexed keywords

EMERGENCY HEALTH SERVICE; HEMORRHAGE; HUMAN; INJURIES; LAW ENFORCEMENT; LIMB; STATISTICS AND NUMERICAL DATA; TOURNIQUET; WOUNDS AND INJURIES;

EMERGENCY MEDICAL SERVICES; EXTREMITIES; HEMORRHAGE; HUMANS; LAW ENFORCEMENT; TOURNIQUETS; WOUNDS AND INJURIES;

EID: 84961289734     PISSN: 10903127     EISSN: 15450066     Source Type: Journal    
DOI: 10.3109/10903127.2014.964893     Document Type: Conference Paper

References (32)

1. Sauaia A, Moore FA, Moore EE, Moser KS, Brennan R, Read RA, Pons PT. Epidemiology of trauma deaths: a reassessment. J Trauma. 1995 Feb;38(2):185-93
2. Evans JA, van Wessem KJ, McDougall D, Lee KA, Lyons T, Balogh ZJ. Epidemiology of traumatic deaths: comprehensive population-based assessment. World J Surg. 2010 Jan;34(1):158-63
3. Kragh JF Jr, 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
4. Beekley AC, Sebesta JA, Blackbourne LH, Herbert GS, Kauvar DS, Baer DG,Walters TJ,Mullenix PS, Holcomb JB; 31st Combat Support Hospital Research Group. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. J Trauma. 2008 Feb;64(2 Suppl):S28-S37; discussion S37
5. Kragh JF. Use of tourniquets and their effects on limb function in the modern combat environment. Foot Ankle Clin N Am. 2010;15:23-40
6. Bellamy RF. The causes of death in conventional land warfare: implications for combat casualty care research. Mil Med. 1984;149:55-62
7. Kotwal RS, Montgomery HR, Kotwal BM, Champion HR, Butler FK Jr, Mabry RL, Cain JS, Blackbourne LH, Mechler KK, Holcomb JB. Eliminating preventable death on the battlefield. Arch Surg. 2011 Dec;146(12):1350-8
8. Kragh JF Jr, 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 Jan;249(1):1-7
9. Callaway DW, Smith ER, Cain J, Shapiro G, Burnett WT, McKay SD, Mabry R. Tactical Emergency Casualty Care. (TECC): Guidelines for the provision of prehospital trauma care in high threat environments. J Spec Oper Med. 2011 Summer;11(3):104-22
10. Myerburg RJ, Fenster J, VelezM, Rosenberg D, Lai S, Kurlansky P, Newton S, Knox M, Castellanos A. Impact of communitywide police car deployment of automated external defibrillators on survival from out-of-hospital cardiac arrest. Circulation. 2002;106:1058-64
11. Husain S, Eisenberg M. Police AED programs: a systematic review and meta-analysis. Resuscitation. 2013;84:1184-91
12. Alonso-Serra HM, Delbridge TR, Auble TE, et al. Law enforcement agencies and out-of-hospital emergency care. Ann Emerg Med. 1997 Apr;29(4):497-503
13. Caterson EJ, Carty MJ,WeaverMJ, Holt EF. Boston bombings: a surgical view of lessons learned from combat casualty care and the applicability to Boston's terrorist attack. J Craniofac Surg. 2013 Jul;24(4):1061-7
14. Majno G. The Healing Hand: Man and Wound in the Ancient World. Cambridge, MA: Harvard University Press; 1975:278-9, 403-5. 15
15. Salazar CF, ed. The Treatment of War Wounds in Graeco-Roman Antiquity: Studies in Ancient Medicine. Boston: Brill; 2000
16. 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
17. Mabry, RL, Holcomb JB, Baker AM, Cloonan CC, Uhorchak JM, Perkins DE, Canfield AJ, Hagmann JH. United States Army Rangers in Somalia: an analysis of combat casualties on an urban battlefield. J Trauma. 2000 Sep;49(3):515-29
18. Kragh JF Jr, O'Neill ML, Walters TJ, Jones JA, Baer DG, Gershman LK, Wade CE, Holcomb JB. Minor morbidity with emergency tourniquet use to stop bleeding in severe limb trauma: research, history, and reconciling advocates and abolitionists. Mil Med. 2011 Jul;176(7):817-23
19. Niven DJ, Stelfox HT, Ball CG, Kirkpatrick AW. Prehospital intravenous fluid administration is associated with higher mortality in trauma patients: a National Trauma Data Bank analysis. Ann Surg. 2014 Feb;259(2):e16
20. Cohen MJ, Kutcher M, Redick B, Nelson M, Call M, Knudson MM, Schreiber MA, Bulger EM, Muskat P, Alarcon LH, Myers JG, Rahbar MH, Brasel KJ, Phelan HA, del Junco DJ, Fox EE, Wade CE, Holcomb JB, Cotton BA, Matijevic N; PROMMTT Study Group. Clinical and mechanistic drivers of acute traumatic coagulopathy. J Trauma Acute Care Surg. 2013 Jul;75(1 Suppl 1):S40-S47
21. del Junco DJ, Holcomb JB, Fox EE, Brasel KJ, Phelan HA, Bulger EM, Schreiber MA, Muskat P, Alarcon LH, Cohen MJ, Cotton BA, Wade CE, Myers JG, Rahbar MH; PROMMTT Study Group. Resuscitate early with plasma and platelets or balance blood products gradually: findings from the PROMMTT study. J Trauma Acute Care Surg. 2013 Jul;75(1 Suppl 1):S24-S30
22. Kutcher ME, Kornblith LZ, Narayan R, Curd V, Daley AT, Redick BJ, Nelson MF, Fiebig EW, Cohen MJ. A paradigm shift in trauma resuscitation: evaluation of evolving massive transfusion practices. JAMA Surg. 2013 Sep;148(9):834-40
23. Bulger EM, Snyder D, Schoelles K, Gotschall C, et al. An evidence-based prehospital guideline for external hemorrhage control: America College of Surgeons Committee on Trauma. Prehosp Emerg Care. 2014 Apr;18(2):168-73
24. Jacobs LM,Wade DS, McSwain NE, Butler FK, FabbriWP, Eastman AL, RotondoM, Sinclair J, Burns KJ. The Hartford Consensus: THREAT, a medical disaster preparedness concept. J Am Coll Surg. 2014 Mar;218(3):467-75
25. Walters TJ, Wenke JC, Kauvar DS, McManus, JG, Holcomb JB, Baer DG. Effectiveness of self-applied tourniquets in human volunteers. Prehosp Emerg Care. 2005 Oct/Dec;9(4):416-22
26. Kragh JF, O'Neill ML, Beebe DF, Fox CJ, Beekley AC, Cain JS, Parsons DL, Mabry RL, Blackbourne LH. Survey of the indications for use of emergency tourniquets. J Spec Op Med. 2011 Winter;11(1):30-8
27. Fitzgibbons PG, DiGiovanni C, Hares S, Akelman, E. Safe tourniquet use: a review of the evidence. J Am Acad Orthop Surg. 2012 May;20(5):310-9
28. Wilgis EFS. Observations on the effects of tourniquet ischemia. J Bone Joint Surg Am. 1971;53:1343-6
29. Solonen KA, Hjelt L. Morphological changes in striated muscle during ischaemia. Acta Orthop Scandinav. 1968;39:13-9
30. Klenerman L. The Tourniquet Manual. London: Spring; 2003. Wheeless CR. Wheeless' Textbook of Orthopaedics. Extremity Tourniquets. Available online: www.wheelessonline.com/ortho/extremity tourniquets. (Accessed September 1, 2014
31. Klenerman L. Tourniquet time-how long?. Hand. 1980 Oct;12(3):231-4
32. Odinsson A, Finsen V. Tourniquet use and its complications in Norway. J Bone Joint Surg Br. 2006 Aug;88(8):1090-2