Prehospital tourniquet placement in extremity trauma.

Adult Humans Tourniquets / adverse effects Emergency Medical Services Hemorrhage / etiology Retrospective Studies Extremities / injuries
Extremity hemorrhage Outcome Pre-hospital Tourniquet

Journal

American journal of surgery
ISSN: 1879-1883
Titre abrégé: Am J Surg
Pays: United States
ID NLM: 0370473

Informations de publication

Date de publication:
12 2023
Historique:
received: 24 03 2023
revised: 07 08 2023
accepted: 11 08 2023
medline: 27 11 2023
pubmed: 19 8 2023
entrez: 18 8 2023
Statut: ppublish

Résumé

Extremity tourniquets (ET) use has increased in trauma systems to manage traumatic hemorrhage. This study aims to evaluate prehospital ET placement. This is a retrospective review of a prospectively collected cohort of 211 adult patients who underwent prehospital ET placement over 3 ½ years. Data regarding ET placement was analyzed regarding ET applier, reported indications, extremity appearance at arrival and outcomes. A total of 211 patients had completed data sheets. Of these patients, 63.2% had no other intervention prior to ET placement. On arrival, nearly 1/3 of the patients had palpable pulses with ET in place and less than ½ had arterial bleeding upon ET release. This study shows that ET are frequently used as the initial intervention in the field. It is of paramount importance that we adapt our first responders training to teach wound assessment and appropriate steps in management of extremity hemorrhagic trauma.

Sections du résumé

BACKGROUND
Extremity tourniquets (ET) use has increased in trauma systems to manage traumatic hemorrhage. This study aims to evaluate prehospital ET placement.
METHODS
This is a retrospective review of a prospectively collected cohort of 211 adult patients who underwent prehospital ET placement over 3 ½ years. Data regarding ET placement was analyzed regarding ET applier, reported indications, extremity appearance at arrival and outcomes.
RESULTS
A total of 211 patients had completed data sheets. Of these patients, 63.2% had no other intervention prior to ET placement. On arrival, nearly 1/3 of the patients had palpable pulses with ET in place and less than ½ had arterial bleeding upon ET release.
DISCUSSION/CONCLUSIONS
This study shows that ET are frequently used as the initial intervention in the field. It is of paramount importance that we adapt our first responders training to teach wound assessment and appropriate steps in management of extremity hemorrhagic trauma.

Identifiants

DOI: 10.1016/j.amjsurg.2023.08.007 PMID: 37596184
pubmed: 37596184
pii: S0002-9610(23)00391-4
doi: 10.1016/j.amjsurg.2023.08.007
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

901-907

Informations de copyright

Copyright © 2023 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest All authors listed have contributed to the development of this manuscript. None of the authors have any conflicts of interest to disclose regarding this manuscript. This manuscript has not been previously published and is not under consideration for publication in any other peer-reviewed media.

Auteurs

Jonathan Gushing (J)

University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Jonathan-gushing@ouhsc.edu.

Scott G Blair (SG)

Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Scott-blair@ouhsc.edu.

Roxie M Albrecht (RM)

Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Roxie-albrecht@ouhsc.edu.

Zoona Sawar (Z)

Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Zoona-sawar@ouhsc.edu.

Kenneth Stewart (K)

Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Kenneth-Stewart@ouhsc.edu.

Curtis Knoles (C)

Department of Pediatrics, Section Pediatric Emergency Medicine, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Curtis-Knoles@ouhsc.edu.

Cooper Little (C)

University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: cooper-little@ouhsc.edu.

Celia Y Quang (CY)

Department of Surgery, University of Oklahoma College of Medicine, Oklahoma City, OK, USA. Electronic address: Celia-quang@ouhsc.edu.

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Classifications MeSH

questionsmedicales.fr › Personnes › Tranches d'âge › Adulte › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › Eucaryotes › Animaux › Chordés › Vertébrés › Mammifères › Eutheria › Primates › Haplorhini › Catarrhini › Hominidae › Humains › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › Équipement et fournitures › Garrots › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › Établissements, main d'oeuvre et services de soins de santé › Services de santé › Services des urgences médicales › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › États, signes et symptômes pathologiques › Processus pathologiques › Hémorragie › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › Environnement et santé publique › Santé publique › Méthodes épidémiologiques › Caractéristiques des études épidémiologiques › Études épidémiologiques › Études de cohortes › Études rétrospectives › Prehospital tourniquet placement in extremity trauma.
questionsmedicales.fr › Régions du corps › Membres › Prehospital tourniquet placement in extremity trauma.