Prehospital Emergency Inguinal Clamp Controls Hemorrhage in Cadaver Model

Abstract

Background: The Combat Ready Clamp is indicated to stop difficult inguinal bleeding on the battlefield, the most common type of junctional bleeding and now the most common cause of preventable battlefield death. The purpose of the present study is to report the data of clamp development to help appliers use it correctly. Methods: Wake Forest University investigators used a cadaver model to test the clamp s ability to control hemorrhage. Ten fresh cadavers were made to simulate inguinal and popliteal wound bleeding. Blood simulant was pumped to quantify device effectiveness in testing. Points of application included proximal pressure point control of popliteal, inguinal, and bilateral bleeding. Results: Clamp use promptly controlled pulsing arterial hemorrhages from inguinal, popliteal, and bilateral wounds. The device, when placed on the common iliac artery, stopped all ipsilateral distal bleeding. Conclusions: The evidence of how the clamp works in the cadaver model showed that clamp use can plausibly be tailored to control inguinal hemorrhage from one wound, control two ipsilateral wounds with hemorrhage from one artery (e.g., common iliac artery), and control bilateral inguinal wounds (compression of the origins of bilateral common iliac arteries).

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Document Details

Document Type
Technical Report
Publication Date
Jul 01, 2013
Accession Number
ADA614660

Entities

People

  • Christopher Murphy
  • Craig K. Henkel
  • David G. Baer
  • James E. Johnson
  • John Frederick Kragh
  • John Steinbaugh
  • Lorne H Blackbourne
  • Michael A. Dubick

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Abdomen
  • Arteries
  • Biomedical Research
  • Blood
  • Blood Flow
  • Body Regions
  • Cardiovascular Physiological Phenomena
  • Casualties
  • Compression
  • Emergencies
  • Hemorrhage
  • Lower Extremity
  • Measurement
  • Medical Personnel
  • Military Medicine
  • Pressure Measurement
  • United States

Fields of Study

  • Medicine

Readers

  • Cardiovascular Physiology
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  • Neurotrauma and Rehabilitation Medicine.