| Autor: |
Standifird CH; Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV., Kaisler S; University of New Mexico School of Medicine, Albuquerque, NM, USA., Triplett H; Kirk Kerkorian School of Medicine, University of Nevada, Las Vegas, NV., Lauria MJ; Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.; Lifeguard Air Emergency Services, Albuquerque, NM, USA., Fisher AD; Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM, USA., Harrell AJ 4th; Division of Prehospital, Austere, and Disaster Medicine, Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.; Dr George Kennedy Center for Law Enforcement Operational Medicine, Albuquerque, NM, USA.; Grand Canyon National Park, Arizona, and New Mexico State Police and State Search and Rescue, Sante Fe, NM, USA., White CC 4th; Division of Prehospital, Austere, and Disaster Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA.; UNM Center for Rural and Tribal Medicine, Department of Emergency Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA. |
| Abstrakt: |
Since the first documented use of a tourniquet in 1674, the popularity of tourniquets has waxed and waned. During recent wars and more recently in Emergency Medical Services systems, the tourniquet has been proven to be a valuable tool in the treatment of life-threatening hemorrhage. However, tourniquet use is not without risk, and several studies have demonstrated adverse events and morbidity associated with tourniquet use in the prehospital setting, particularly when left in place for more than 2 h. Consequently, the US military's Committee on Tactical Combat Casualty Care has recommended guidelines for prehospital tourniquet conversion to reduce the risk of adverse events associated with tourniquets once the initial hemorrhage has been controlled. Emergency Medical Services systems that operate in rural, frontier, and austere environments, especially those with transport times to definitive care that routinely exceed 2 h, may consider implementing similar tourniquet conversion guidelines. |
