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A high rate of change of pressure across the cuff width, or a high cuff pressure gradient, is a leading cause of nerve and muscle injury from tourniquet use. [7] Tourniquets with wider straps or cuffs, especially those with pneumatic actuation in contrast to mechanical force, distribute pressure more evenly and produce lower pressure gradients. [7]
The Emergency & Military Tourniquet (EMT) is an example of a pneumatic tourniquet developed for safe use in pre-hospital or military settings. In a study that evaluated 5 emergency tourniquet systems for use in the Canadian Forces, the EMT was one of the most effective tourniquets and caused the least pain. [50]
Another method of achieving constriction of the supplying artery is a tourniquet - a band tied tightly around a limb to restrict blood flow. Tourniquets are routinely used to bring veins to the surface for cannulation, though their use in emergency medicine is more limited. Many armies carry a tourniquet as part of their personal first aid kit.
If you have been trained on the proper use of a tourniquet, that is the best method to control bleeding, Bailey says. For everyone else, ...
“Using approved tourniquets is the safest and best way to stop bleeding.” That’s why Cronn is on a mission to get these lifesaving Stop the Bleed kits into people's hands.
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Hemorrhage control interventions include the use of extremity tourniquets, junctional tourniquets, trauma dressings, wound packing with compressed gauze and hemostatic dressings, and direct pressure. [23] Newer devices approved for use by the CoTCCC for hemorrhage control include the iTClamp and XStat. [24]
A Texas bill would provide training for elementary school children on how to tie tourniquets or pack bleeding wounds during mass-casualty incidents.
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