{"id":11331,"date":"2025-12-01T21:53:26","date_gmt":"2025-12-02T04:53:26","guid":{"rendered":"https:\/\/sbbch.org\/?p=11331"},"modified":"2025-12-01T22:01:57","modified_gmt":"2025-12-02T05:01:57","slug":"education-tourniquet-lessons-learned-from-ukraine-and-israel","status":"publish","type":"post","link":"https:\/\/sbbch.org\/?p=11331","title":{"rendered":"Education – Tourniquet Lessons Learned from Ukraine and Israel"},"content":{"rendered":"

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Introduction<\/strong><\/p>\n

Prior to 2001, tourniquets (TQ) were inferiorly made, lacked evidence and effective training, and their use was discouraged. However, with effective modern\u00a0TQ science<\/a>, development, and TQ inclusion into the Tactical Combat Casualty Care (TCCC) guidelines, TQs became universally accepted by 2006 in the military as the primary option for extremity arterial bleeding. \u00a0Eventually TQ use transitioned with success to civilian\u00a0Emergency Medical Service\/Fire Department personnel, Law Enforcement personnel, and first responders<\/a>. Yet, there still is a need to overcome TQ myths (Table 1). Additionally, history reveals from WWII to present that\u00a0mistakes<\/a>\u00a0will occur when applying a TQ (Table 2). For instance, many TQs have been applied to injured extremities\u00a0without\u00a0life-threatening bleeding in both\u00a0military<\/a>\u00a0and\u00a0civilian<\/a>\u00a0casualties. Many of these applied TQs were inappropriate since many were placed without visualizing the wound when not in a direct threat environment. In addition, when TQs are applied for over 2 hours, there will be progressive damage that may result in muscle necrosis, need for fasciotomy, renal failure, amputation, and death. This suggests a greater need for TQ education and training.<\/p>\n

\"\"<\/a> \"\"<\/a> READ MORE<\/a><\/strong><\/p>\n

PDF: Tourniquet Lessons Learned from Ukraine and Israel<\/a><\/strong><\/p>\n

\nAs an outcome from recent TQ lessons learned in the Ukraine and Israel wars, an article<\/a>\u00a0by Colonel John Holcomb, MD and colleagues was recently published in the\u00a0Journal of Trauma<\/em>, December 2023. They describe a renewed attention and education about how to avoid prolonged TQ application as recommended in the\u00a0TCCC guidelines<\/a>\u00a0(See Massive Hemorrhage and Circulation sections \u2013 Table 3). It is our intent to provide the wilderness medical provider information about: 1) TQ replacement and TQ conversion (ideally performed no later than 2 hours after being applied); and 2) ensure the reader has up-to-date CoTCCC resources with the current TQ replacement\/TQ conversion education and training.<\/p>\n

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Introduction Prior to 2001, tourniquets (TQ) were inferiorly made, lacked evidence and effective training, and their use was discouraged. However, with effective modern\u00a0TQ science, development, and TQ inclusion into the Tactical Combat Casualty Care (TCCC) guidelines, TQs became universally accepted by 2006 in the military as the primary option for extremity arterial bleeding. \u00a0Eventually TQ […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47,50],"tags":[],"class_list":["post-11331","post","type-post","status-publish","format-standard","hentry","category-education","category-safety"],"_links":{"self":[{"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/posts\/11331","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sbbch.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=11331"}],"version-history":[{"count":4,"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/posts\/11331\/revisions"}],"predecessor-version":[{"id":11341,"href":"https:\/\/sbbch.org\/index.php?rest_route=\/wp\/v2\/posts\/11331\/revisions\/11341"}],"wp:attachment":[{"href":"https:\/\/sbbch.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=11331"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sbbch.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=11331"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sbbch.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=11331"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}