The case against tourniquets

[jkaymdc at aim.com]

-----Original Message-----
From: vdkleyn at hotmail.com
   PHTLS manuel sixth edition (normal version): page 97 :

  the prehospital care provider can control hemorrhage in the following 
ways:
>>>>Tourniquets are very effective in controlling severe hemorrhage and 
should be used if direct pressure or a pressure dressing falis to 
>>>control hemorrage from an extremety.
>>>>COMENTS???

I believe this is still stating it would be considered as a final 
resort, following direct pressure and/or a pressure dressing failure, 
"in an extremity".

  Pressure points lost some favor mostly from a lack of actually finding 
the appropriate pressure point and exerting enough pressure on it to 
control hemorrhage.

I would view this recommendation in the same light as Quik Clot (or a 
similar product)....it works in "extreme" cases when exsanguination  is 
possible and other methods of hemorrhage control are not working.

In other words..it's still basically a last resort measure, IMO.

Jules




  --------

From: "oded private" <tangentcarrot at hotmail.com>
Reply-To: "Trauma &amp; Critical Care mailing list" 
<trauma-list at trauma.org>
To: trauma-list at trauma.org
Subject: RE: The case against tourniquets
Date: Sun, 10 Dec 2006 21:22:43 +0200
>the military edition or the regular?
>
>
>>From: "James Richardson" <jimmnn at comcast.net>
>>Reply-To: "Trauma &amp; Critical Care mailing list"
>><trauma-list at trauma.org>
>>To: "'Trauma &amp; Critical Care mailing list'"
>><trauma-list at trauma.org>
>>Subject: RE: The case against tourniquets
>>Date: Sun, 10 Dec 2006 09:01:40 -0700
>>
>>They have been reemphasized in the new PHTLS edition.
>>
>> Jim<
>>
>>-----Original Message-----
>>From: trauma-list-bounces at trauma.org
>>[mailto:trauma-list-bounces at trauma.org]
>>On Behalf Of Karim Brohi
>>Sent: Sunday, December 10, 2006 6:55 AM
>>To: trauma-list at trauma.org
>>Subject: The case against tourniquets
>>
>>Recently, the US and UK military have "rediscovered" tourniquets.
>>Their use
>>has been published in meetings around the world and is now
>>spreading to
>>civilian practice. ATLS and other groups have spent years
>>campaigning to
>>remove tourniquets from civilian practice, for good reasons, and
>>now they
>>are back - with not a shred of evidence to support this reversion.
>>
>>
>>
>>
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