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The Hess test or Rumpel-Leede test is a medical test used to assess capillary fragility. [1] It is also called the Tourniquet test.. To perform the test, pressure is applied to the forearm with a blood pressure cuff inflated to between systolic and diastolic blood pressure for 10 minutes.
A tourniquet test (also known as a Rumpel-Leede capillary-fragility test or simply a capillary fragility test) determines capillary fragility. It is a clinical diagnostic method to determine a patient's haemorrhagic tendency.
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.
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However, given proper precautions, the occurrence of complications due to tourniquet use is quite rare. [9] Designed tourniquet devices are routinely tightened over healthy limbs during training with no ill effects, and recent evidence from combat hospitals in Iraq suggests that morbidity rates are low when users adhere to standard best practices.
The test can be repeated with the tourniquet at different levels to further pinpoint the level of valvular incompetence: above the knee - to assess the mid-thigh perforators; below the knee - to assess incompetence between the short saphenous vein and the popliteal vein. [3]
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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.
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