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Pressure underneath a tourniquet cuff is not evenly distributed, with the highest pressures localized around the cuff center line and decreasing to zero near the cuff edges. [7] 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]
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.
Protocols vary depending on local standard procedures and the extremity being operated on. A vast majority of practitioners begin by exsanguinating the limb as Bier did with an elastic bandage (Esmarch bandage), squeezing blood proximally toward the heart, then pneumatic tourniquets are applied to the limb and inflated 30mmHg above arterial pressure to occlude all blood vessels and then the ...
Tourniquet being applied to an arm on a training dummy A combat tourniquet commonly used by combat medics (military environment) and EMS (civilian environment).. A tourniquet is a device that is used to apply pressure to a limb or extremity in order to create ischemia or stopping the flow of blood.
A Marine practices applying a tourniquet to a mannequin during a tactical combat casualty care course. Tactical Emergency medical services (TEMS) is out-of-hospital care given in hostile situations by specially trained practitioners.
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