Tourniquets for hemorrhage control on the battlefield: A 4-year accumulated experience

Dror Lakstein, Amir Blumenfeld, Tali Sokolov, Guy Lin, Roni Bssorai, Mauricio Lynn, Ron Ben-Abraham

Research output: Contribution to journalArticle

187 Scopus citations

Abstract

Background: Tourniquet application is a known means for bleeding prevention in the military prehospital setting. Methods: This study was a 4-year retrospective analysis of silicone and improvised tourniquet applications by Israeli Defense Force soldiers. Results: Of 550 soldiers who were treated in the prehospital setting, tourniquets were applied to 91 (16%) patients and in less than 15 minutes in 88% of the cases with almost no complications. Penetrating trauma was the main mechanism of injury. The indication was situational and nonmedical in 58 (53%) of the cases. The patients' ischemic time was 83 ± 52 minutes (range, 1-305 minutes). A total of 78% of applications were effective, with higher success rates for medical staff compared with fellow soldiers and for upper limbs (94%) compared with lower limbs (71%, p < 0.01). Conclusion: Tourniquet application is an effective and easily applied (by medical and nonmedical personnel) method for prevention of exsanguination in the military prehospital setting.

Original languageEnglish
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume54
Issue number5 SUPPL.
StatePublished - May 1 2003
Externally publishedYes

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Keywords

  • Battlefield
  • Control
  • Hemorrhage
  • Tourniquets

ASJC Scopus subject areas

  • Surgery

Cite this

Lakstein, D., Blumenfeld, A., Sokolov, T., Lin, G., Bssorai, R., Lynn, M., & Ben-Abraham, R. (2003). Tourniquets for hemorrhage control on the battlefield: A 4-year accumulated experience. Journal of Trauma - Injury, Infection and Critical Care, 54(5 SUPPL.).