Evaluating new types of tourniquets by the Israeli Naval special warfare unit

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• 作者：Eitan Heldenberg ; Shahar Aharony ; Tamir Wolf ; Tali Vishne
• 关键词：External bleeding ; Tactical combat casualty care ; Combat application tourniquet ; Special operations force tactical tourniquet
• 刊名：Disaster and Military Medicine
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：1
• 期：1
• 全文大小：396KB
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• 作者单位：Eitan Heldenberg (1)
  Shahar Aharony (2)
  Tamir Wolf (2)
  Tali Vishne (3)
  
  1. Department of Vascular Surgery, Assaf Harofeh Medical Center, affiliated to the Sackler faculty of medicine, Tel Aviv University, Tel Aviv, Israel
  2. Israeli Naval Special Warfare Unit, Israeli Navy, Isreal Defence Forces, Kragujevac, Israel
  3. Department of Psychiatry, Maayanei Hayeshouha Medical Center, Bnai Berak, Israel
  
• 刊物类别：Medicine/Public Health, general;
• 刊物主题：Medicine/Public Health, general;
• 出版者：BioMed Central
• ISSN：2054-314X

文摘

Background Extremity injuries, which accounts for 20% of all battlefield injuries, result in 7-9% of deaths during military activity. Silicone tourniquets were used, by the Israeli Defense Force (IDF) soldiers, for upper extremity and calf injuries, while thigh injuries were treated by an improvised "Russian" tourniquet (IRT). This is the first study, performed in the IDF, comparing the IRT with Combat Application Tourniquets (CAT) and Special Operations Force Tactical Tourniquets (SOFTT). 23 operators from the Israeli Naval Unit (Shayetet 13) were divided into two groups according to their medical training (11 operators trained as first-responders; 12 operators as medics). Repetitive applications of the three tourniquets over the thigh and upper arm, and self-application of the CAT and SOFTT over the dominant extremity were performed using dry and wet tourniquets (828 individual placements) with efficacy recorded. Cessation of distal arterial flow (palpation; Doppler ultrasound) confirmed success, while failure was considered in the advent of arterial flow or tourniquet instability. Satisfaction questionnaires were filled by the operators.