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Prolonged prehospital tourniquet placement associated with severe complications: a case report

  • Christian Malo (a1) (a2), Bruno Bernardin (a1), Joe Nemeth (a1) and Kosar Khwaja (a2)
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Abstract
Copyright
Corresponding author
Correspondence to: Dr. Christian Malo, MUHC Trauma Program, McGill University Health Centre, 1650 Cedar Avenue, L9.411, Montreal, QC H3G 1A4; Email: christian.malo@mail.mcgill.ca
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CM, BB, KK and JN participated in writing and review of the final manuscript. CM takes responsibility for the paper as a whole.

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References
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1. Kragh, JF Jr, Beebe, DF, O’Neill, ML, et al. Performance improvement in emergency tourniquet use during the Baghdad surge. Am J Emerg Med 2013;31(5):873-875, doi: 10.1016/j.ajem.2012.11.030. PMID: 23481155.
2. King, DR, van der Wilden, G, Kragh, JF Jr, et al. Forward assessment of 79 prehospital battlefield tourniquets used in the current war. J Spec Oper Med 2012;12(4):33-38. PMID: 23536455.
3. Kragh, JF Jr, Littrel, ML, Jones, JA, et al. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med 2011;41(6):590-597.
4. Kragh, JF Jr, O’Neill, ML, Walters, TJ, et al. Minor morbidity with emergency tourniquet use to stop bleeding in severe limb trauma: research, history, and reconciling advocates and abolitionists. Mil Med 2011;176(7):817-823. PMID: 22128725.
5. Fludger, S, Bell, A. Tourniquet application in a rural Queensland HEMS environment. Air Med J 2009;28(6):291-293, doi: 10.1016/j.amj.2009.06.002. PMID: 19896580.
6. Mullins, J, Harrahill, M. Use of a tourniquet after a gunshot wound to the thigh. J Emerg Nurs 2009;35(3):265-267, doi: 10.1016/j.jen.2009.01.008. PMID: 19446140.
7. Sims, C, Polk, T. Rollover car crash almost costs driver his life, limb. J Emerg Med Serv 2012;37(9):30-31. PMID: 23342696.
8. Beekley, AC, Sebesta, JA, Blackbourne, LH, et al. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. J Trauma 2008;64(2 Suppl):S28-S37; discussion S37, doi: 10.1097/TA.0b013e318160937e.
9. Lairet, JR, Bebarta, VS, Burns, CJ, et al. Prehospital interventions performed in a combat zone: a prospective multicenter study of 1,003 combat wounded. J Trauma Acute Care Surg 2012;73(2 Suppl 1):S38-S42. PMID: 22847092.
10. Fox, N, Rajani, RR, Bokhari, F, et al. Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline. J Trauma Acute Care Surg 2012;73(5):S315-S320. PMID: 23114487, doi: 10.1097/TA.0b013e31827018e4.
11 American College of Surgeons Committee on Trauma. Advanced trauma life support (ATLS): ninth edition. J Trauma Acute Care Surg 2013; 74(5):1363-6. PMID: 23609291. doi: 10.1097/TA.0b013e31828b82f5.
12. Bulger, ME, Snyder, D, Schoelles, K, et al. An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp Emerg Care 2014;18:163-173. PMID: 24641269, doi: 10.3109/10903127.2014.896962.
13. Doyle, GS, Taillac, PP. Tourniquets: a review of current use with proposals for expanded prehospital use. Prehosp Emerg Care 2008;12:241-256. PMID: 18379924, doi: 10.1080/10903120801907570.
14. Wakai, A, Winter, DC, Street, JT, et al. Pneumatic tourniquets in extremity surgery. J Am Acad Orthop Surg 2001;9:345-351. PMID: 11575914.
15. Lee, C, Porter, KM, Hodgetts, TJ. Tourniquet use in the civilian prehospital setting. Emerg Med J 2007;24:584-587. PMID: 17652690, doi: 10.1136/emj.2007.046359.
16. Kragh, JF Jr, Walters, TJ, Baer, DG, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg 2009;249(1):1-7. PMID: 19106667, doi: 10.1097/SLA.0b013e31818842ba.
17. Tien, HC, Jung, V, Rizoli, SB, et al. An evaluation of tactical combat casualty care interventions in a combat environment. J Am Coll Surg 2008;207(2):174-178. PMID: 18656043, doi: 10.1016/j.jamcollsurg.2008.01.065.
18. Wolf, LH, Adkins, TF. Tourniquet problems in war injuries. Bull U S Army Med Dep 1945;87:77-84.
19. Kragh, JF Jr, Baer, DG, Walters, TJ. Extended (16-hour) tourniquet application after combat wounds: a case report and review of the current literature. J Orthop Trauma 2007;21(4):274-278. PMID: 17414556.
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Canadian Journal of Emergency Medicine
  • ISSN: -
  • EISSN: 1481-8035
  • URL: /core/journals/canadian-journal-of-emergency-medicine
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