Compression Bandage, Not Tourniquet. Experience in 68 Patients With Traumatic Amputation after Mine Injuries
Abstract
Sixty eight patients with traumatic amputations after mine injuries were treated in the demilitarized zone between Iraq and Kuwait. Most were seen during a three week period of Iraqi mine harvesting. During the first days, continuos bleeding distally to applied tourniquets were frequently observed. Orders were issued to remove any applied tourniquets and dress the wounds with a tight elastic bandage. Three out of 18 patients died during the first part of the period compared to 1 of 50 during the last part. The new directives led to visibly less hemorrhaging. Hemoglobin at admission increased and fewer patients needed transfusions. In extensive crush injuries and traumatic amputations a tight bandage applied from the end of the extremity and in proximal direction should be used. Tourniquet should not be used.
Document Details
- Document Type
- Technical Report
- Publication Date
- Sep 01, 2004
- Accession Number
- ADA444895
Entities
People
- Johan Pillgram-larsen