From 2013 to 2015, the number of civilian reports of emergency tourniquet use in the
medical literature has increased
[
1
,
2
,
3
,
4
,
5
,
6
,
7
,
8
,
9
,
10
,
11
,
12
,
13
,
14
,
15
]. Civilian law enforcement reports have also occurred during this time
[
16
,
17
]. Although expert reviewers of first aid science note that tourniquet data are weak,
first aid use of limb tourniquets has become a consensus internationally as a skill
recommended to be taught to everyone; such recommenders are the leading authorities
including the American Heart Association, the American Red Cross, the International
Liaison Committee on Resuscitation, and President Obama's Administration (18, 19,
https://www.whitehouse.gov/the-press-office/2015/10/06/fact-sheet-bystander-stop-bleed-broad-private-sector-support-effort-save, accessed Feb. 1, 2016; http://www.dhs.gov/stopthebleed, accessed Feb. 1, 2016). In 2014 and 2015, preliminary reports of tourniquet training
started addressing relevant issues, but much remains unknown or unclear, such as whether
skill of tourniquet users may decay over time
[
18
,
19
,
20
,
21
]. The purpose of the present study is to explore skill decay in tourniquet use in
order to provide 1) initial information on a technique of measurement, and 2) preliminary
guidance for instruction of users.To read this article in full you will need to make a payment
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of Emergency MedicineAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- The contribution of on-call, volunteer first responders to mass-casualty terrorist attacks in Israel.Am J Disaster Med. 2015; 10: 35-39
- Decreased mortality after prehospital interventions in severely injured trauma patients.J Trauma Acute Care Surg. 2015; 79: 227-231
- Emergency tourniquets for civilians: can military lessons in extremity hemorrhage be translated?.J Trauma Acute Care Surg. 2015; 79: 586-591
- Boston bombings: a surgical view of lessons learned from combat casualty care and the applicability to Boston's terrorist attack.J Craniomaxillofac Surg. 2013; 24: 1061-1067
- Case records of the Massachusetts General Hospital. Case 11–2014. A man with traumatic injuries after a bomb explosion at the Boston Marathon.N Engl J Med. 2014; 370: 1441-1451
- The initial response to the Boston marathon bombing: lessons learned to prepare for the next disaster.Ann Surg. 2014; 260: 960-966
- Tourniquet use for civilian extremity trauma.J Trauma Acute Care Surg. 2015; 79: 232-237
- A multi-institutional analysis of prehospital tourniquet use.J Trauma Acute Care Surg. 2015; 79: 10-14
- Prolonged prehospital tourniquet placement associated with severe complications: a case report.CJEM. 2015; 17: 443-446
- Use of a tourniquet by LIFE STAR air medical crew: a case report.Conn Med. 2015; 79: 537-541
- Canadian trauma trials collaborative. Tourniquet use for peripheral vascular injuries in the civilian setting.Injury. 2014; 45: 573-577
- Re: tourniquet use at the Boston Marathon bombing.J Trauma Acute Care Surg. 2015; 79: 702-703
- Tourniquet use at the Boston Marathon bombing: lost in translation.J Trauma Acute Care Surg. 2015; 78: 594-599
- Tourniquet use in a civilian emergency medical services setting: a descriptive analysis of the Boston EMS experience.Prehosp Emerg Care. 2015; 19: 399-404
- Prehospital use of hemostatic bandages and tourniquets: translation from military experience to implementation in civilian trauma care.J Spec Oper Med. 2015; 15: 48-53
- Another civilian life saved by law enforcement-applied tourniquets.J Spec Oper Med. 2014; 14: 7-11
- Law enforcement-applied tourniquets: a case series of life-saving interventions.Prehosp Emerg Care. 2015; 19: 320-327
- Part 15: first aid: 2015 American Heart Association and American Red Cross guidelines update for first aid.Circulation. 2015; 132: S574-S589
- Part 9: first aid: 2015 international consensus on first aid science with treatment recommendations.Resuscitation. 2015; 95: e225-e261
- Effects of training and simulated combat stress on leg tourniquet application accuracy, time, and effectiveness.Mil Med. 2014; 179: 114-120
- Tourniquet application training for individuals with and without a medical background in a hospital setting.J Trauma Acute Care Surg. 2015; 78: 442-445
- Single versus double routing of the band in the combat application tourniquet.J Spec Oper Med. 2013; 13: 34-41
- No slackers in tourniquet use to stop bleeding.J Spec Oper Med. 2013; 13: 12-19
- Laboratory testing of emergency tourniquets exposed to prolonged heat.J Spec Oper Med. 2015; 15: 34-38
Article Info
Publication History
Published online: June 29, 2016
Accepted:
June 23,
2016
Received:
June 23,
2016
Footnotes
☆The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Identification
Copyright
Published by Elsevier Inc.