Application of Current Hemorrhage Control Techniques for Backcountry Care: Part One, Tourniquets and Hemorrhage Control Adjuncts

被引：32

作者：

Drew, Brendon ^{[1
]}

Bennett, Brad L. ^{[2
]}

Littlejohn, Lanny ^{[3
]}

机构：

[1] Naval Med Ctr San Diego, Dept Emergency Med, San Diego, CA USA

[2] Uniformed Serv Univ Hlth Sci, F Edward Hebert Sch Med, Mil & Emergency Med Dept, Bethesda, MD 20814 USA

[3] Naval Med Ctr Portsmouth, Dept Emergency Med, Portsmouth, VA USA

来源：

WILDERNESS & ENVIRONMENTAL MEDICINE | 2015年 / 26卷 / 02期

关键词：

hemorrhage; hemostasis; tourniquet; trauma; prehospital; hemostatic agents; topical; dressing; bandage; AFGHANISTAN COMBAT ENVIRONMENT; LOWER-LIMB HEMORRHAGE; TRAUMA; BATTLEFIELD; DRESSINGS; EFFICACY; DEATH;

D O I：

10.1016/j.wem.2014.08.016

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Decade-long advancements in battlefield medicine have revolutionized the treatment of traumatic hemorrhage and have led to a significant reduction in mortality. Older methods such as limb elevation and pressure points are no longer recommended. Tourniquets have had a profound effect on lives saved without the commonly feared safety issues that have made them controversial. Unique tourniquet designs for inguinal and abdominal regions are now available for areas not amenable to current fielded extremity tourniquets. This article, the first of two parts, reviews the literature for advancements in prehospital hemorrhage control for any provider in the austere setting. It emphasizes the significant evidence-based advances in tourniquet use on the extremities that have occurred in battlefield trauma medicine since 2001 and reviews the newer junctional tourniquet devices. Recommendations are made for equipment and techniques for controlling hemorrhage in the wilderness setting.

引用

页码：236 / 245

页数：10

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