https://doi.org/10.4081/scenario.2022.526
Safety and efficacy in the use of improvised tourniquets versus commercial devices in the control of massive haemorrhage: a literature review
Submitted: 7 October 2022
Accepted: 7 October 2022
Published: 7 October 2022
Accepted: 7 October 2022
Abstract Views: 527
PDF (Italiano): 303
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
The constant increase in traumatic events and consequent penetrating wounds in civil contexts suggests that attention should be paid to the use of safe and functional devices for the treatment of massive limb haemorrhages. In Italy, the tourniquet still remains an underused instrument because it is considered dangerous and erroneously associated exclusively with a military context. On the contrary, recent national trauma guidelines encourage its widespread use in the civilian context when direct manual compression and haemostatic dressing is ineffective or impractical. There are two types of devices: improvised (I-TQs) and packaged (C-TQs). The aim of this work is to compare the efficacy and safety of I-TQs and C-TQs.
TEIXEIRA, P. G., INABA, K., HADJIZACHARIA, P., BROWN, C., SALIM, A., RHEE, P., BROWDER, T., NOGUCHI, T. T. & DEMETRIADES, D. 2007. Preventable or potentially preventable mortality at a mature trauma center. J Trauma, 63, 1338-46; discussion 1346-7.
OYENIYI;, B. T., FOX;, E. E., SCERBO;, M., TOMASEK;, J. S., .WADE;, C. E. & HOLCOMB., J. B. 2017. Trends in 1029 trauma deaths at a level 1 trauma center: Impact of a bleeding control bundle of care. Injury, 48, 5-12.
BULGER, E. M., SNYDER, D., SCHOELLES, K., GOTSCHALL, C., DAWSON, D., LANG, E., SANDDAL, N. D., BUTLER, F. K., FALLAT, M., TAILLAC, P., WHITE, L., SALOMONE, J. P., SEIFARTH, W., BETZNER, M. J., JOHANNIGMAN, J. & MCSWAIN, N., JR. 2014. An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma. Prehosp Emerg Care, 18, 163-73.
Linea Guida sulla Gestione Integrata del Trauma Maggiore dalla scena dell’evento alla cura definitiva. Istituto Superiore di Sanità . SNLG. 2020.
BENÃTEZ, C. Y., OTTOLINO, P., PEREIRA, B. M., LIMA, D. S., GUEMES, A., KHAN, M., & RIBEIRO JUNIOR, M. A. F. Tourniquet use for civilian extremity hemorrhage: systematic review of the literature. Revista Do Colégio Brasileiro de Cirurgiões. 2020, 48.
CORNELISSEN, M. P., BRANDWIJK, A., SCHOONMADE, L., GIANNAKOPOULOS, G., VAN OOSTENDORP, S., & GEERAEDTS, L. The safety and efficacy of improvised tourniquets in life- threatening hemorrhage: a systematic review. European journal of trauma and emergency surgery. 2019, 46(3), 531–538.
CHARLOTTE BEAUCREUX 1, BENOÃŽT VIVIEN 2, ETHAN MILES 3, SYLVAIN AUSSET 4, PIERRE PASQUIER Application of tourniquet in civilian trauma: Systematic review of the literature,Anaesth Crit Care Pain Med 2018 Dec;37(6):597-606.
DAVID S KAUVAR 1, MICHAEL A DUBICK, THOMAS J WALTERS, JOHN F KRAGH JR Systematic review of prehospital tourniquet use in civilian limb trauma J Trauma Acute Care Surg 2018 May;84(5):819-825.
DAVID RICHARD KING , ANDREAS LARENTZAKIS, ELIE P RAMLY, BOSTON TRAUMA COLLABORATIVE Tourniquet use at the Boston Marathon bombing: Lost in translation, J Trauma Acute Care Surg.2015 Mar;78(3):594-9.
EILEEN M BULGER, DAVID SNYDER, KAREN SCHOELLES, CATHY GOTSCHALL, DREW DAWSON, EDDY LANG, NELS D SANDDAL, FRANK K BUTLER, MARY FALLAT, PETER TAILLAC, LYNN WHITE, JEFFREY P SALOMONE, WILLIAM SEIFARTH, MICHAEL J BETZNER, JAY JOHANNIGMAN, NORMAN MCSWAIN JR An evidence-based prehospital guideline for external hemorrhage control: American College of Surgeons Committee on Trauma,Prehosp Emerg Care. Apr-Jun 2014;18(2):163-73.
DREW BRENDON, MONTGOMERY HAROLD et al. Tactical Combat Casualty Care (TCCC) Guidelines for Medical Personnel. 15 dicembre 2021.
JOSEPH M.GALANTE, MD. Using Tourniquets to Stop Bleeding. JAMA.2017; 317(14).
PAGE MJ, MCKENZIE JE, BOSSUYT PM, BOUTRON I, HOFFMANN TC, MULROW CD, ET AL. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021;372:n71. doi: 10.1136/bmj.n71
How to Cite
Annese, F., Tiraboschi, L., Mascioli, L., & Sofia, D. M. (2022). Safety and efficacy in the use of improvised <em>tourniquets</em> versus commercial devices in the control of massive haemorrhage: a literature review. Scenario® - Il Nursing Nella Sopravvivenza, 39(3), 38–43. https://doi.org/10.4081/scenario.2022.526
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