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Wide-awake Local Anesthesia with No Tourniquet: An Updated Review

Plastic and Reconstructive Surgery - Global Open, 2021
Background: The wide-awake local anesthesia with no tourniquet (WALANT) technique has become popularized for various hand/upper extremity procedures. Before surgery, patients receive local anesthetic, consisting of lidocaine with epinephrine, and remain ...
Steven M Koehler
exaly   +2 more sources

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AAST multicenter prospective analysis of prehospital tourniquet use for extremity trauma

Journal of Trauma and Acute Care Surgery, 2022
Media summary: Large prospective multicenter study showed that prehospital tourniquets for major extremity trauma were associated with a threefold decreased incidence of arrival in shock without increased limb complications.
R. Schroll, Alison A Smith, Kelsey Alabaster, T. Schroeppel, Zachery Stillman, Erik J. Teicher, E. Lita, Paula Ferrada, Jinfeng Han, Robert D. Fullerton, A. McNickle, D. Fraser, Michael S. Truitt, Heather M. Grossman Verner, S. Todd, David Turay, A. Pop, L. Godat, Todd W. Costantini, Desmond Khor, K. Inaba, James M. Bardes, Alison M Wilson, J. Myers, James M. Haan, Kelly L. Lightwine, Henrik O. Berdel, A. J. Bottiggi, W. Dorlac, L. Zier, Grace Chang, M. Lindner, Benjamin Martinez, D. Tatum, P. Fischer, M. Lieser, Robert C. Mabe, L. Lottenberg, Catherine G. Velopoulos, Shane Urban, Marquinn D. Duke, Amy Brown, Merry Peckham, AlleaBelle Gongola, Toby M. Enniss, P. Teixeira, Dennis Y Kim, George Singer, Peter Ekeh, C. Hardman, R. Askari, B. Okafor, J. Duchesne   +52 more
semanticscholar   +1 more source

Characteristics and Outcomes of Prehospital Tourniquet Use for Trauma in the United States

Prehospital Emergency Care, 2022
Introduction The use of the extremity tourniquet in military environments has reduced preventable deaths due to exsanguinating hemorrhage, leading to increased use in civilian settings.
Z. Hashmi, Parker J Hu, J. Jansen, F. Butler, J. Kerby, J. Holcomb   +5 more
semanticscholar   +1 more source

Implications of the national Stop the Bleed campaign: The swinging pendulum of prehospital tourniquet application in civilian limb trauma

Journal of Trauma and Acute Care Surgery, 2021
Supplemental digital content is available in the text. BACKGROUND Prehospital tourniquet (PHT) utilization has increased in response to mass casualty events.
S. Mikdad, Ava K. Mokhtari, Casey M. Luckhurst, K. Breen, Betty S. Liu, H. Kaafarani, G. Velmahos, April E. Mendoza, F. Bloemers, N. Saillant   +9 more
semanticscholar   +1 more source

Tourniquet Application for Bleeding Control in a Rural Trauma System: Outcomes and Implications for Prehospital Providers

Prehospital Emergency Care, 2021
Introduction: Uncontrolled bleeding is a preventable cause of death in rural trauma. Herein, we examined the appropriateness, effectiveness, and safety of tourniquet application for bleeding control in a rural trauma system.
H. Bedri, Hadeal Ayoub, Jacklyn M Engelbart, M. Lilienthal, C. Galet, D. Skeete   +5 more
semanticscholar   +1 more source

Prehospital tourniquet use: An evaluation of community application and outcome

Journal of Trauma and Acute Care Surgery, 2021
BACKGROUND There is substantial investment in layperson and first responder training involving tourniquet use for hemorrhage control. Little is known however about prehospital tourniquet application, field conversion, or outcomes in the civilian setting.
Leslie M. Barnard, Sally Guan, Lori Zarmer, Brianna Mills, J. Blackwood, E. Bulger, Betty Y. Yang, P. Johnston, M. Vavilala, M. Sayre, T. Rea, David L. Murphy   +11 more
semanticscholar   +1 more source

Tourniquets Revisited

Journal of Trauma: Injury, Infection & Critical Care, 2009
Controversy swirls about optimal control of life-threatening hemorrhage from an injured extremity whether in combat in the Middle East or in trauma care at home. Left unanswered are four critical questions: (1) What is the simplest tourniquet available? (2) Can it be used below the elbow and the knee? (3) Is pain a factor?
Kenneth G, Swan, Deborah S, Wright, Stephanie S, Barbagiovanni, Betsy C, Swan, Kenneth G, Swan   +4 more
openaire   +2 more sources

Prehospital tourniquet use in penetrating extremity trauma: Decreased blood transfusions and limb complications

Journal of Trauma and Acute Care Surgery, 2019
BACKGROUND Despite increasing popularity of prehospital tourniquet use in civilians, few studies have evaluated the efficacy and safety of tourniquet use. Furthermore, previous studies in civilian populations have focused on blunt trauma patients.
Alison A Smith, Rebecca Schroll
exaly   +2 more sources

Who needs a tourniquet? And who does not? Lessons learned from a review of tourniquet use in the Russo-Ukrainian war

Journal of Trauma and Acute Care Surgery
BACKGROUND Extremity tourniquets have proven to be lifesaving in both civilian and military settings and should continue to be used by first responders for trauma patients with life-threatening extremity bleeding.
Frank K. Butler, John B. Holcomb, Warren C. Dorlac, J. Gurney, Kenji Inaba, Lenworth Jacobs, Bob Mabry, Mike Meoli, Harold Montgomery, Mel Otten, S. Shackelford, Matthew D Tadlock, Justin Wilson, Kostiantyn Humeniuk, Oleksandr Linchevskyy, Oleksandr Danyliuk   +15 more
semanticscholar   +1 more source