ONR/MARCORSYSCOM Evaluation of Self-Applied Tourniquets for Combat Applications

Abstract

Six tourniquets designed for combat application were tested for their ease of use and ability to occlude arterial blood flow to the upper arms and thighs in a repeated measures design. To simulate nighttime desert combat conditions, subjects completed an exercise routine while the tourniquet was immersed in a blood analog solution and rolled in sand. Subjects then applied the tourniquet while they were blindfolded and seated or lying supine. They were able to apply all tourniquets in a reasonable amount of time (range: 24-204 s). The Quickette exhibited a high mechanical failure rate (30%). All tourniquets except the One-Handed Tourniquet (1-inch width) and Quickette performed reasonably well on arms and legs, with median occlusion efficacious exceeding 70%. Subjective rankings indicated that the Mechanical Advantage Tourniquet, Tourni-Kwik, and Combat Application Tourniquet were preferred over the One-Handed Tourniquet (1- and 2-inch models) and the Quickette. Additional research is recommended to investigate increases in blood flow that might occur with inadequate tourniquet application.

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Document Details

Document Type
Technical Report
Publication Date
Nov 01, 2005
Accession Number
ADA442842

Entities

People

  • K. W. Hopper
  • Leslie D. Montgomery
  • M. J. Swiergosz
  • V. L. Ruterbusch
  • W. A. Gerth

Organizations

  • United States Navy Experimental Diving Unit

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Bandages
  • Blood Flow
  • Cardiovascular Physiological Phenomena
  • Data Analysis
  • Electrical Resistance
  • Electrocardiography
  • Explosive Devices
  • Frequency
  • Health Services
  • Heart Rate
  • Impedance
  • Iraqi-War
  • Lower Extremity
  • Medical Personnel
  • Pulse Amplitude
  • Training
  • Vascular System Injuries

Readers

  • Cardiovascular Physiology
  • Systems Analysis and Design
  • Trauma or Military Medicine