• Emerg Med J · Aug 2007

    Review

    Tourniquet use in the civilian prehospital setting.

    • C Lee, K M Porter, and T J Hodgetts.
    • Academic Department of Traumatology, West Midlands, UK. drcarolinelee@hotmail.com
    • Emerg Med J. 2007 Aug 1; 24 (8): 584-7.

    AbstractTourniquets are an effective means of arresting life-threatening external haemorrhage from limb injury. Their use has not previously been accepted practice for pre-hospital civilian trauma care because of significant concerns regarding the potential complications. However, in a few rare situations tourniquet application will be necessary and life-saving. This review explores the potential problems and mistrust of tourniquet use; explains the reasons why civilian pre-hospital tourniquet use may be necessary; defines the clear indications for tourniquet use in external haemorrhage control; and provides practical information on tourniquet application and removal. Practitioners need to familiarise themselves with commercial pre-hospital tourniquets and be prepared to use one without irrational fear of complications in the appropriate cases.

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