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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]
As an enemy is suppressed, casualties can move or be moved to more secure positions. The only medical treatment rendered in CUF is stopping life-threatening hemorrhaging (bleeding). TCCC actively endorses and recommends the early and immediate use of tourniquets to control massive external hemorrhaging of limbs.
Treatment of internal bleeding is beyond the scope of simple first aid, and a person giving first aid should consider it potentially life-threatening. The definitive treatment for internal bleeding is always surgical treatment, and medical advice must be sought urgently for any victim of internal bleeding.
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First responders must address burns, open fractures, facial trauma, amputation dressings, and security of tourniquets. [36] Prior to movement, reassessment of wounds and interventions is very important.
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]
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