There are many different devices that are being marketed and sold as tourniquets, and there are a lot of factors to consider when making your selection.
JEMS Medical Editor Ed Dickinson shares his approach to external hemorrhage control based on his many years of clinical experience in the field and in the ED, evaluation of the medical literature and use of common sense.
Despite major advances in trauma care and medical devices, massive hemorrhage continues to have significant morbidity and mortality. Adequate hemorrhage control must take place in the prehospital environment, and EMS systems must keep pace with changing protocols.
Controlling compressible hemorrhage is the highest medical priority for improving survival in trauma cases. Now there is a new, simple and effective tool that will transform the way bleeding, particularly difficult-to-control bleeding, is managed in the field: the iTClamp50.
The iTClamp is a new hemorrhage-control device that converts an open bleeding wound into a closed wound, which then allows a stable clot to form in the contained space, ultimately tamponading the bleeding vessel. Dr. Joe Holley explains how it works.
Tourniquets are a valuable, life-saving tool, and providers should be well-versed in their use to control bleeding and prevent hypoxia. However, they do prevent blood flow to areas distal to the tourniquet application, which can in turn induce stagnant hypoxia. Jason Clark reports on the first in-the-field use of the iTClamp, a new device designed to control bleeding but still allow blood flow to distal areas.
Today's Featured Posts
EMS Airway Clinic
Simulation is an educational tool that can be used to develop and refine clinical skills of the student in a controlled environment before they progress to becoming practicing clinicians.
Ambulance response times among problems noted by city supervisor.
Watch It >
Leg access using the EZ-IO.
Watch It >
Sneak peek of customizable run forms & more.
Watch It >
Featured Now on JEMS.com
- Idaho Teens Injured in Bizarre Crash
- NIH Scientist: Ebola Unlikely to Spread Through Air
- Report: Hospitals Hit by Superstorm Sandy had Pre-existing Problems
- Ohio School Bus Driver Killed During Emergency Drill
- President Sends Military Personnel to Fight Ebola Crisis
- Storm Drain Deaths Raise Safety Issue