| Autor: |
Paix BR; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Tingey DJ; Rescue, Retrieval, and Aviation Services, South Australian Ambulance Service, Adelaide, South Australia, Australia., Copley G; Rescue, Retrieval, and Aviation Services, South Australian Ambulance Service, Adelaide, South Australia, Australia., Casson M; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Shoolbread D; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Davuluru H; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Doube J; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Emmerton W; SAAS MedSTAR, South Australian Ambulance Service Emergency Medical Retrieval Service, Adelaide, South Australia, Australia., Kennedy R; Rescue, Retrieval, and Aviation Services, South Australian Ambulance Service, Adelaide, South Australia, Australia. |
| Abstrakt: |
External aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet. |
