This presentation looks at the historical issues facing compressible hemorrhage and the treatment of non-compressible hemorrhage in the field. The presentation provides an evidence-based look at the creation, utility, ease of use, and speed with which tourniquets were employed during the Global War on Terror. The presenter will provide more than a decade of evidence for the and treatment of non-compressible and abdominal hemorrhage, using an abdominal junctional tourniquet.. The presentation will review the genesis of device and it current use with the special operations medical community and its success. The presentation will also address the challenges with lack of awareness of existing military medical devices and techniques that would be highly beneficial to both EMS and HEMS.
Learning Objectives:
- Discuss the genesis of tourniquets in the setting of compressible hemorrhage, and their current battlefield and civilian use.
- Cite current trauma resuscitation strategies and their limitations such as REBOA, for non-compressible hemorrhage and intra-abdominal trauma.
Describe relevant studies on the use of these novel devices their applicability to EMS, HEMS, and other pre-hospital providers