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Journal of Education, Health and Sport

Evolution of hemostatic tourniquet and emergency care for massive bleeding from limb vessels
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  • Evolution of hemostatic tourniquet and emergency care for massive bleeding from limb vessels
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  3. Vol. 63 (2024) /
  4. Medical Sciences

Evolution of hemostatic tourniquet and emergency care for massive bleeding from limb vessels

Authors

  • D. Khramtsov P. Mohyla Black Sea National University
  • D. Salenko СNPE "City Center of Emergency Medical Care"

DOI:

https://doi.org/10.12775/JEHS.2024.63.021

Keywords

emergency medicine, tourniquets, complications, prevention, training

Abstract

The review is devoted to the problem of providing emergency care for injuries of limb vessels using tourniquets. The development of various types of tourniquets in the historical aspect, the risk of complications with improper use of tourniquets are analyzed. Aspects of training medical personnel in emergency situations, humanitarian disasters, and large-scale war are discussed.

References

1. Ko, YC., Tsai, TY., Wu, CK. et al. Effectiveness and safety of tourniquet utilization for civilian vascular extremity trauma in the pre-hospital settings: a systematic review and meta-analysis. World J Emerg Surg 19, 10 (2024). https://doi.org/10.1186/s13017-024-00536-9

2. Saied A, Ayatollahi Mousavi A, Arabnejad F, Ahmadzadeh Heshmati A. Tourniquet in surgery of the limbs: a review of history, types and complications. Iran Red Crescent Med J. 2015 Feb 18;17(2):e9588. doi: 10.5812/ircmj.9588. PMID: 25793122; PMCID: PMC4353220.

3. Wall PL, Buising CM, Sahr SM. Review: Getting Tourniquets Right = Getting Tourniquets Tight. J Spec Oper Med. 2019 Fall;19(3):52-63. doi: 10.55460/RYU9-YZSV. PMID: 31539434.

4. Kragh JF Jr, Swan KG, Smith DC, Mabry RL, Blackbourne LH. Historical review of emergency tourniquet use to stop bleeding. Am J Surg. 2012 Feb;203(2):242-52. doi: 10.1016/j.amjsurg.2011.01.028. Epub 2011 Jul 22. PMID: 21782152.

5. Markatos K, Tzivra A, Tsoutsos S, Tsourouflis G, Karamanou M, Androutsos G. Ambroise Paré (1510-1590) and His Innovative Work on the Treatment of War Injuries. Surg Innov. 2018 Apr;25(2):183-186. doi: 10.1177/1553350617744901. Epub 2017 Dec 4. PMID: 29202658.

6. Hawk AJ. ArtiFacts: Jean Louis Petit's Screw Tourniquet. Clin Orthop Relat Res. 2016 Dec;474(12):2577-2579. doi: 10.1007/s11999-016-5042-6. Epub 2016 Aug 25. PMID: 27562790; PMCID: PMC5085941.

7. Metintas MY, Ay H, Demirsoy N. Friedrich Esmarch, the Founder of Modern First Aid, and His Works. Iran J Public Health. 2014 Jan;43(1):124-5

8. Herzenberg JE. Johann Friedrich August Von Esmarch: His Life and Contributions to Orthopaedic Surgery. Iowa Orthop J. 1988;8:85–91. PMCID: PMC2328936.

9. Schmauss AK. Das chirurgische Erbe. Johann Friedrich August von Esmarch -- Leben und Werk (9. 1. 1823-23. 2. 1908). Zentralbl Chir. 1983;108(24):1577-83. German. PMID: 6364645.

10. Stevens RA, Baker MS, Zubach OB, Samotowka M. Misuse of Tourniquets in Ukraine may be Costing More Lives and Limbs Than They Save. Mil Med. 2024 Nov 5;189(11-12):304-308. doi: 10.1093/milmed/usad503. PMID: 38242075.

11. Katsnelson S, Oppenheimer J, Gerrasi R, Furer A, Wagnert-Avraham L, Eisenkraft A, Nachman D. Assessing the Current Generation of Tourniquets. Mil Med. 2020 Mar 2;185(3-4):e377-e382. doi: 10.1093/milmed/usz392. PMID: 32091602.

12. Tsur AM, Nadler R, Benov A, Glassberg E, Siman-Tov M, Radomislensky I, Bodas M, Peleg K, Thompson P, Fink N, Chen J. The effects of military-wide introduction of advanced tourniquets in the Israel Defense Forces. Injury. 2020 May;51(5):1210-1215. doi: 10.1016/j.injury.2020.01.033. Epub 2020 Jan 31. PMID: 32008816.

13. Samarskiy IM, Khoroshun EM, Vorokhta Y. The Use of Tourniquets in the Russo-Ukrainian War. J Spec Oper Med. 2024 Mar 13:CB0O-GYYX. doi: 10.55460/CB0O-GYYX. Epub ahead of print. PMID: 38408044.

14. Butler F, Holcomb JB, Dorlac W, Gurney J, Inaba K, Jacobs L, Mabry B, Meoli M, Montgomery H, Otten M, Shackelford S, Tadlock MD, Wilson J, Humeniuk K, Linchevskyy O, Danyliuk O. Who needs a tourniquet? And who does not? Lessons learned from a review of tourniquet use in the Russo-Ukrainian war. J Trauma Acute Care Surg. 2024 Aug 1;97(2S Suppl 1):S45-S54. doi: 10.1097/TA.0000000000004395. Epub 2024 Jul 12. PMID: 38996420.

15. Patterson JL, Bryan RT, Turconi M, Leiner A, Plackett TP, Rhodes LL, Sciulli L, Donnelly S, Reynolds CW, Leanza J, Fisher AD, Kushnir T, Artemenko V, Ward KR, Holcomb JB, Schmitzberger FF. Life Over Limb: Why Not Both? Revisiting Tourniquet Practices Based on Lessons Learned From the War in Ukraine. J Spec Oper Med. 2024 Mar 13:V057-2PCH. doi: 10.55460/V057-2PCH. Epub ahead of print. PMID: 38300880.

16. Nie S, Zhi K, Qu L. Research progress of tourniquets and their application in the Russia-Ukraine Conflict. Chin J Traumatol. 2024 Sep 13:S1008-1275(24)00115-9. doi: 10.1016/j.cjtee.2024.07.010. Epub ahead of print. PMID: 39542779.

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18. Greydanus DJ, Hassmann LL, Butler FK Jr. Quality Assurance in Tactical Combat Casualty Care for Medical Personnel Training 16 April 2020. J Spec Oper Med. 2020 Summer;20(2):95-103. doi: 10.55460/T63H-3OXX. PMID: 32573744.

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Published

2024-07-31

How to Cite

1.
KHRAMTSOV, D. and SALENKO, D. Evolution of hemostatic tourniquet and emergency care for massive bleeding from limb vessels. Journal of Education, Health and Sport. Online. 31 July 2024. Vol. 63, pp. 289-294. [Accessed 29 June 2025]. DOI 10.12775/JEHS.2024.63.021.
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Issue

Vol. 63 (2024)

Section

Medical Sciences

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Copyright (c) 2024 D. Khramtsov, D. Salenko

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0

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