Articles Open access

L’utilizzo del tourniquet nelle emorragie da trauma in ambito civile: una revisione narrativa della letteratura.

Authors

Published
9 April 2020
Section
Articles
DOI
10.4081/scenario.2020.408
Pages
6 - 11

Abstract

Introduzione: L’emorragia arteriosa è una delle principali cause di morte in ambito civile e militare. Nonostante la pressione manuale
diretta del sito emorragico sia ancora lo standard di riferimento per il controllo del sanguinamento, l’applicazione precoce, in ambito
extra-ospedaliero di tourniquet si è dimostrata capace di ridurre le morti con bassi rischi di complicanze. L’obiettivo dello studio è quello di sinte-
tizzare i metodi di utilizzo, le condizioni dei pazienti, gli esiti e le complicazioni relative alle applicazioni del tourniquet.

Supporting Agencies

References

  1. Evans JA, van Wessem KJ, McDougall D, Lee KA, Lyons T, Balogh ZJ. Epidemiology of traumatic deaths: comprehensive population-based assessment. World J Surg. 2010;34(1):158.
  2. Passos E, Dingley B, Smith A, Engels PT, Ball CG, Faidi S, et al. Tourniquet use for peripheral vascular injuries in the civilian setting. Injury. 2014;45(3):573-7.
  3. Callaway DW, Robertson J, Sztajnkrycer MD. Law enforcement-applied tourniquets: a case series of life-saving interventions. Prehosp Emerg Care. 2015;19(2):320-7.
  4. Teixeira PGR, Brown CVR, Emigh B, Long M, Foreman M, Eastridge B, et al. Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury. J Am Coll Surg. 2018;226(5):769-76.e1.
  5. Scerbo MH, Holcomb JB, Taub E, Gates K, Love JD, Wade CE, et al. The trauma center is too late: Major limb trauma without a pre-hospital tourniquet has increased death from hemorrhagic shock. J Trauma Acute Care Surg. 2017;83(6):1165-72.
  6. Inaba K, Siboni S, Resnick S, Zhu J, Wong MD, Haltmeier T, et al. Tourniquet use for civilian extremity trauma. J Trauma Acute Care Surg. 2015;79(2):232-7.
  7. Kue RC, Temin ES, Weiner SG, Gates J, Coleman MH, Fisher J, et al. Tourniquet Use in a Civilian Emergency Medical Services Setting: A Descriptive Analysis of the Boston EMS Experience. Prehosp Emerg Care. 2015;19(3):399-404.
  8. CAT Resources. Combat Application tourniquet [internet]. Rock Hill, SC [cited 2018 December 11]. Available from: http://www.combattourniquet.com/.
  9. Leonard J, Zietlow J, Morris D, Berns K, Eyer S, Martinson K, et al. A multi-institutional study of hemostatic gauze and tourniquets in rural civilian trauma. J Trauma Acute Care Surg. 2016;81(3):441-4.
  10. Ode G, Studnek J, Seymour R, Bosse MJ, Hsu JR. Emergency tourniquets for civilians: Can military lessons in extremity hemorrhage be translated? J Trauma Acute Care Surg. 2015;79(4):586-91.
  11. Kragh Jr JF, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009;249(1):1-7.
  12. Beekley AC, Sebesta JA, Blackbourne LH, Herbert GS, Kauvar DS, Baer DG, et al. Prehospital tourniquet use in Operation Iraqi Freedom: effect on hemorrhage control and outcomes. J Trauma Acute Care Surg. 2008;64(2):S28-S37.
  13. Scerbo MH, Mumm JP, Gates K, Love JD, Wade CE, Holcomb JB, et al. Safety and Appropriateness of Tourniquets in 105 Civilians. Prehosp Emerg Care. 2016;20(6):712-22.
  14. NAEMT - National Association of Emergency Medical Technicians, Pre-Hospital Trauma Life Support Committee, American College of Surgeons, Committee on Trauma. PHTLS: prehospital trauma life support 2016.
  15. Shackelford SA, Butler Jr FK, Kragh Jr JF, Stevens RA, Seery JM, Parsons DL, et al. Optimizing the use of limb tourniquets in tactical combat casualty care: Tactical Combat Casualty Care guidelines change 14-02.
  16. Committee on Tactical Combat Casualty Care, Joint Trauma System. Tactical Combat Casualty Care Guidelines 2018.
  17. American College of Surgeons. Stop the Bleed®[internet]. USA [cited 2018 December 11]. Available from: https://www.stopthebleed.org/.
  18. Lakstein D, Blumenfeld A, Sokolov T, Lin G, Bssorai R, Lynn M, et al. Tourniquets for hemorrhage control on the battlefield: a 4-year accumulated experience. J Trauma Acute Care Surg. 2003;54(5):S221-S5.
  19. Schroll R, Smith A, McSwain NE, Jr., Myers J, Rocchi K, Inaba K, et al. A multi-institutional analysis of prehospital tourniquet use. J Trauma Acute Care Surg. 2015;79(1):10-4; discussion 4.
  20. Alonso-Algarabel M, Esteban-Sebastia X, Santillan-Garcia A, Vila-Candel R. Tourniquet use in out-of-hospital emergency care: a systematic review. Emergencias. 2019;31(1):47-54.
  21. Hossfeld B, Lechner R, Josse F, Bernhard M, Walcher F, Helm M, et al. [Prehospital application of tourniquets for life-threatening extremity hemorrhage : Systematic review of literature]. Unfallchirurg. 2018;121(7):516-29.
  22. Baker SP, O'Neill B, Haddon W, Jr., Long WB. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974;14(3):187-96.
  23. El Sayed MJ, Tamim H, Mailhac A, Mann NC. Trends and Predictors of Limb Tourniquet Use by Civilian Emergency Medical Services in the United States. Prehosp Emerg Care. 2017;21(1):54-62.
  24. Zietlow JM, Zietlow SP, Morris DS, Berns KS, Jenkins DH. Prehospital Use of Hemostatic Bandages and Tourniquets: Translation From Military Experience to Implementation in Civilian Trauma Care. J Spec Oper Med. 2015;15(2):48-53.
  25. Kue RC, Dyer KS, Blansfield JS, Burke PA. Tourniquet use at the Boston Marathon J Trauma Acute Care Surg. 2015;79(4):701-2.
  26. Beaucreux C, Vivien B, Miles E, Ausset S, Pasquier P. Application of tourniquet in civilian trauma: Systematic review of the literature. Anaesth Crit Care Pain Med. 2018;37(6):597-606.
  27. Kauvar DS, Dubick MA, Walters TJ, Kragh Jr JF. Systematic review of prehospital tourniquet use in civilian limb trauma. J Trauma Acute Care Surg. 2018;84(5):819-25.
  28. Polit DF, Beck CT. Generalization in quantitative and qualitative research: Myths and strategies. Int J Nurs Stud. 2010;47(11):1451-8.
  29. Keel M, Trentz O. Pathophysiology of polytrauma. Injury. 2005;36(6):691-709.

Metrics

Citations and online attention from Dimensions, Altmetric and PlumX.

PlumX Metrics

License

Aniarti has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.