Emerg Med J. 2007 Aug;24(8):584-7.

Tourniquet use in the civilian prehospital setting.

Source

Academic Department of Traumatology, West Midlands, UK. drcarolinelee@hotmail.com

Abstract

Tourniquets are an effective means of arresting life-threatening external haemorrhage from limb injury. Their use has not previously been accepted practice for pre-hospital civilian trauma care because of significant concerns regarding the potential complications. However, in a few rare situations tourniquet application will be necessary and life-saving. This review explores the potential problems and mistrust of tourniquet use; explains the reasons why civilian pre-hospital tourniquet use may be necessary; defines the clear indications for tourniquet use in external haemorrhage control; and provides practical information on tourniquet application and removal. Practitioners need to familiarise themselves with commercial pre-hospital tourniquets and be prepared to use one without irrational fear of complications in the appropriate cases.

PMID:: 17652690; [PubMed - indexed for MEDLINE]
PMCID:: PMC2660095

Free PMC Article

Images from this publication.See all images (2) Free text

Publication Types, MeSH Terms

Publication Types

Review

MeSH Terms

LinkOut - more resources

Full Text Sources

Other Literature Sources

Labome Researcher Resource - ExactAntigen/Labome

Medical

Emergency Medical Services - MedlinePlus Health Information

Supplemental Content

Save items

Related citations in PubMed

Use of tourniquets in combat and civilian trauma situations. [Emerg Nurse. 2010]
Use of tourniquets in combat and civilian trauma situations.
Niven M, Castle N. Emerg Nurse. 2010 Jun; 18(3):32-6; quiz 37.
Review New tourniquet device concepts for battlefield hemorrhage control. [US Army Med Dep J. 2011]
Review New tourniquet device concepts for battlefield hemorrhage control.
Kragh JF Jr, Murphy C, Dubick MA, Baer DG, Johnson J, Blackbourne LH. US Army Med Dep J. 2011 Apr-Jun; :38-48.
Review Tourniquets: a review of current use with proposals for expanded prehospital use. [Prehosp Emerg Care. 2008]
Review Tourniquets: a review of current use with proposals for expanded prehospital use.
Doyle GS, Taillac PP. Prehosp Emerg Care. 2008 Apr-Jun; 12(2):241-56.
Survival with emergency tourniquet use to stop bleeding in major limb trauma. [Ann Surg. 2009]
Survival with emergency tourniquet use to stop bleeding in major limb trauma.
Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, Holcomb JB. Ann Surg. 2009 Jan; 249(1):1-7.
Tourniquet use in combat trauma: UK military experience. [J R Army Med Corps. 2007]
Tourniquet use in combat trauma: UK military experience.
Brodie S, Hodgetts TJ, Ollerton J, McLeod J, Lambert P, Mahoney P. J R Army Med Corps. 2007 Dec; 153(4):310-3.

See reviews... See all...

Cited by 1 PubMed Central article

Tourniquet-induced acute ischemia-reperfusion injury in mouse skeletal muscles: Involvement of superoxide. [Eur J Pharmacol. 2011]
Tourniquet-induced acute ischemia-reperfusion injury in mouse skeletal muscles: Involvement of superoxide.
Tran TP, Tu H, Pipinos II, Muelleman RL, Albadawi H, Li YL. Eur J Pharmacol. 2011 Jan 10; 650(1):328-34. Epub 2010 Oct 29.

Related information

Related Citations
Calculated set of PubMed citations closely related to the selected article(s) retrieved using a word weight algorithm. Related articles are displayed in ranked order from most to least relevant, with the “linked from” citation displayed first.
References for this PMC Article
Citation referenced in PubMed article. Only valid for PubMed citations that are also in PMC.
Free in PMC
Free full text articles in PMC
Cited in PMC
Full-text articles in the PubMed Central Database that cite the current articles.

Recent activity

Clear Turn Off Turn On

Tourniquet use in the civilian prehospital setting.
Tourniquet use in the civilian prehospital setting.
Emerg Med J. 2007 Aug ;24(8):584-7.

PubMed
Rofecoxib and cardiovascular adverse events in adjuvant treatment of colorectal ...
Rofecoxib and cardiovascular adverse events in adjuvant treatment of colorectal cancer.
N Engl J Med. 2007 Jul 26 ;357(4):360-9.

PubMed
A day in the life of Oscar the cat.
A day in the life of Oscar the cat.
N Engl J Med. 2007 Jul 26 ;357(4):328-9.

PubMed
A multicenter trial of selegiline transdermal system for HIV-associated cognitiv...
A multicenter trial of selegiline transdermal system for HIV-associated cognitive impairment.
Neurology. 2007 Sep 25 ;69(13):1314-21. Epub 2007 Jul 25 .

PubMed
Enforcement of tobacco purchase, use, and possession laws in four Kentucky commu...
Enforcement of tobacco purchase, use, and possession laws in four Kentucky communities.
Policy Polit Nurs Pract. 2007 May ;8(2):140-7.

PubMed

Your browsing activity is empty.

Activity recording is turned off.

Turn recording back on

PubMed

Result Filters

Display Settings:

Send to: