Literature DB >> 22128725

Minor morbidity with emergency tourniquet use to stop bleeding in severe limb trauma: research, history, and reconciling advocates and abolitionists.

John F Kragh1, Michelle L O'Neill, Thomas J Walters, John A Jones, David G Baer, Leigh K Gershman, Charles E Wade, John B Holcomb.   

Abstract

BACKGROUND: In prior reports of active data collection, we demonstrated that early use of emergency tourniquets is associated with improved survival and only minor morbidity. To check these new and important results, we continued critical evaluation of tourniquet use for 6 more months in the current study to see if results were consistent.
METHODS: We continued a prospective survey of casualties and their records at a combat support hospital in Baghdad who had tourniquets used at a combat hospital in Baghdad (NCT00517166 at ClinicalTrials.gov).
RESULTS: After comparable methods were verified for both the first and current studies, we report the results of 499 patients who had 862 tourniquets applied on 651 limbs. The clinical results were consistent. No limbs were lost from tourniquet use.
CONCLUSION: We found that morbidity was minor in light of major survival benefits consistent with prior reports.

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Year:  2011        PMID: 22128725     DOI: 10.7205/milmed-d-10-00417

Source DB:  PubMed          Journal:  Mil Med        ISSN: 0026-4075            Impact factor:   1.437


  10 in total

1.  [Gunshot and stab wounds in Germany--epidemiology and outcome: analysis from the TraumaRegister DGU®].

Authors:  D Bieler; A F Franke; S Hentsch; T Paffrath; A Willms; R Lefering; E W Kollig
Journal:  Unfallchirurg       Date:  2014-11       Impact factor: 1.000

Review 2.  Equipping Public Spaces to Facilitate Rapid Point-of-Injury Hemorrhage Control After Mass Casualty.

Authors:  Craig Goolsby; Kandra Strauss-Riggs; Michael Rozenfeld; Nathan Charlton; Eric Goralnick; Kobi Peleg; Matthew J Levy; Tim Davis; Nicole Hurst
Journal:  Am J Public Health       Date:  2018-12-20       Impact factor: 9.308

3.  The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition.

Authors:  Donat R Spahn; Bertil Bouillon; Vladimir Cerny; Jacques Duranteau; Daniela Filipescu; Beverley J Hunt; Radko Komadina; Marc Maegele; Giuseppe Nardi; Louis Riddez; Charles-Marc Samama; Jean-Louis Vincent; Rolf Rossaint
Journal:  Crit Care       Date:  2019-03-27       Impact factor: 9.097

Review 4.  Management of bleeding and coagulopathy following major trauma: an updated European guideline.

Authors:  Donat R Spahn; Bertil Bouillon; Vladimir Cerny; Timothy J Coats; Jacques Duranteau; Enrique Fernández-Mondéjar; Daniela Filipescu; Beverley J Hunt; Radko Komadina; Giuseppe Nardi; Edmund Neugebauer; Yves Ozier; Louis Riddez; Arthur Schultz; Jean-Louis Vincent; Rolf Rossaint
Journal:  Crit Care       Date:  2013-04-19       Impact factor: 9.097

5.  The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition.

Authors:  Rolf Rossaint; Bertil Bouillon; Vladimir Cerny; Timothy J Coats; Jacques Duranteau; Enrique Fernández-Mondéjar; Daniela Filipescu; Beverley J Hunt; Radko Komadina; Giuseppe Nardi; Edmund A M Neugebauer; Yves Ozier; Louis Riddez; Arthur Schultz; Jean-Louis Vincent; Donat R Spahn
Journal:  Crit Care       Date:  2016-04-12       Impact factor: 9.097

6.  Prehospital Tourniquets in Civilians: A Systematic Review.

Authors:  Kenneth A Eilertsen; Morten Winberg; Elisabeth Jeppesen; Gyri Hval; Torben Wisborg
Journal:  Prehosp Disaster Med       Date:  2020-11-03       Impact factor: 2.040

7.  Potentially survivable fatal vascular access hemorrhage with tourniquet use: A post-mortem analysis.

Authors:  Craig Goolsby; Luis E Rojas; Michael Andersen; Nathan Charlton; Laura Tilley; Jason Pasley; Todd E Rasmussen; Matthew J Levy
Journal:  J Am Coll Emerg Physicians Open       Date:  2020-08-17

8.  How important is the damage to the liver after lower limb ischemia-reperfusion? An experimental study in a rat model.

Authors:  Gamze Gökalp; Bortecin Eygi; Müge Kiray; Burcu Açıkgöz; Emel Berksoy; Yüksel Bıcılıoğlu; Neslihan Zengin; Şahin İşcan; Orhan Gökalp; Ali Gürbüz
Journal:  Turk Gogus Kalp Damar Cerrahisi Derg       Date:  2020-01-23       Impact factor: 0.332

9.  Penetrating injuries in Germany - epidemiology, management and outcome an analysis based on the TraumaRegister DGU®.

Authors:  D Bieler; E Kollig; L Hackenberg; J H Rathjen; R Lefering; A Franke
Journal:  Scand J Trauma Resusc Emerg Med       Date:  2021-06-13       Impact factor: 2.953

10.  Effect of prehospital tourniquets on resuscitation in extremity arterial trauma.

Authors:  Allison G McNickle; Douglas R Fraser; Paul J Chestovich; Deborah A Kuhls; John J Fildes
Journal:  Trauma Surg Acute Care Open       Date:  2019-01-24
  10 in total

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