Tourniquet Use Associated With Decrease in Mortality
Susan Schmunk, CSTR, CAISS
A recent retrospective study from a presentation made at the September 2017 annual meeting of the American Association for the Surgery of Trauma and Clinical Congress of Acute Care Surgery has been published in the Journal of the American College of Surgeons: http://www.journalacs.org/article/S1072-7515(18)30101-7/abstract.
This study evaluated 1,026 patients with a vascular injury of the arm or leg admitted to 11 urban Level 1 trauma centers in Texas from 2011 to 2016. In just over 17% of those cases a prehospital tourniquet was used with an average tourniquet time of 77 minutes. After multivariable analysis, the non-tourniquet group had an adjusted odds ratio of 5.86, or they were almost 6 times more likely to die. According to the lead author, Pedro Teixeira, MD, FACS, “This is the first time that we were actually able to prove the survival benefit of using the tourniquet in the civilian population.”
Dr. Teixeira went on to say “Being able to demonstrate that tourniquets actually to the job they’re supposed to do is important and supports the recommendations of the Stop the Bleed campaign, contributing to reducing mortality from bleeding on the streets of America and elsewhere.”