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Evaluation of emergency tourniquets for prehospital use in China

摘要Objective: Massive hemorrhage is lifethreatening during armed conflicts. Tourniquets are important medical devices used to reduce severe bleeding in trauma. The aim of this study was to empirically evaluate the current tourniquets used in China and provide information to emergency nurses in selecting the appropriate tourniquet.Methods: Five tourniquets were self-applied by 20healthy participants. The blood flow distal to the tourniquet site was assessed using vascular Doppler ultrasound.Application time, pain, numbness, and other parameters were evaluated.Results: The bladder tourniquet and windlass tourniquet effectively occluded arterial blood flow with success rates higher than 75% in both the upper and lower extremities. The Cargo-strap was the fastest to apply, taking (7.22±2.30) s for the upper extremity and (6.48±2.40) s for the lower extremity. The rubber tube was the most painful, and the improvised tourniquet was the least efficient. The success rates were higher in the lower extremity than in the upper extremity (P<0.05, X2=5.714).Conclusions: The bladder tourniquet and the windlass tourniquet are efficient tourniquets, although the windlass is superior with respect to portability and pain. The Cargo-strap and rubber tourniquets have several disadvantages that reduce their suitability for field use. The improvised tourniquet is not recommended because of low efficiency and severe pain during implementation.

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分类号 S858.23
栏目名称 ORIGINAL ARTICLES
DOI 10.3760/cma.j.issn.1008-1275.2011.03.005
发布时间 2011-07-08
基金项目
This study is supported by the fund of the 11th Five Years Key Programs for Science and Technology Development of PLA-"Studies on Serious War Trauma Care Nursing Skills"
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中华创伤杂志(英文版)

中华创伤杂志(英文版)

2011年14卷3期

151-155页

MEDLINEISTICCSCDCA

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