Systematic review: Do commercial tourniquets have potential to be a life-saving intervention for ambulance services?

Nualnong Wongtongkam

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    Abstract

    Globally, terrorist attacks have major impact because of high rates of mortality and severe injury. Compression with direct pressure may be time-consuming in limb exsanguination and accelerate onset of haemorrhagic shock. Tourniquet applications have undergone scrutiny over a long period, but recently tourniquets have been developed and modified for effective and efficient use in prehospital settings to mitigate adverse effects. This systematic review aimed at examining commercial tourniquets that demonstrated efficacy for use in prehospital services. Six search engines (ScienceDirect, Ovid, PubMed, SAGE, SpringerLink, Taylor & Francis) were used and articles of which 14 were selected for data analysis. The findings were not sufficiently conclusive to pinpoint whether one tourniquet application was superior overall; however, Combat Application Tourniquet appeared to be better than other commercial tourniquets in terms of occlusion of distal blood flow, easy and quick self-application and fewer complications. Conclusion: In prehospital settings, ambulance personnel should not hesitate to apply tourniquets when encountering critical circumstances in which they must choose between saving life and potential complications.
    Original languageEnglish
    Pages (from-to)174-184
    Number of pages11
    JournalHong Kong Journal of Emergency Medicine
    Volume28
    Issue number3
    Early online date25 Jun 2019
    DOIs
    Publication statusPublished - 01 May 2021

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