Assessment of the Efficacy and Safety of a Novel, Low-Cost, Junctional Tourniquet in a Porcine Model of Hemorrhagic Shock.


INTRODUCTION:Commercially available junctional tourniquets (JTQs) have several drawbacks. We developed a low-cost, compact, easy to apply JTQ. The aim of this study was to assess the tourniquets' safety and efficacy in a swine model of controlled hemorrhage. MATERIALS AND METHODS:Five pigs were subjected to controlled bleeding of 35% of their blood volume. Subsequently, the JTQ was applied to the inguinal area for 180 minutes. Afterwards, the tourniquet was removed for additional 60 minutes of follow up. During the study, blood flow to both hind limbs and blood samples for tissue damage markers were repeatedly assessed. Following sacrifice, injury to both inguinal areas was evaluated microscopically and macroscopically. RESULTS:Angiography demonstrated complete occlusion of femoral artery flow, which was restored following removal of the tourniquet. No gross signs of tissue damage were noticed. Histological analysis revealed mild necrosis and infiltration of inflammatory cells. Blood tests showed a mild increase in potassium and lactic acid levels throughout the protocol. CONCLUSIONS:The tourniquet achieved effective arterial occlusion with minimal tissue damage, similar to reports of other JTQs. Subjected to further human trials, the tourniquet might be a suitable candidate for widespread frontline deployment because of its versatility, compactness, and affordable design.


Mil Med


Military medicine


Nachman D,Dulce D,Wagnert-Avraham L,Gavish L,Mark N,Gerrasi R,Gertz SD,Eisenkraft A




Has Abstract


2020-01-07 00:00:00




Suppl 1










  • Military Preventable Death Conceptual Framework: A Systematic Approach for Reducing Battlefield Mortality.

    abstract::The National Academies of Sciences, Engineering, and Medicine Report on Zero Preventable Deaths highlighted the need for a military and civilian partnership to take lessons learned from the wars in Iraq and Afghanistan and incorporate them into a national learning trauma care system. One of the specific objectives in ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Janak J,Stockinger Z,Mazuchowski E,Kotwal R,Sosnov J,Montgomery H,Butler F,Shackelford S,Gurney J,Spott M,Finelli L,Smith DJ

    更新日期:2018-09-01 00:00:00

  • A new model of blast injury from a spherical explosive and its special wound in the maxillofacial region.

    abstract:OBJECTIVE:The goal of this study was to establish an efficient explosive model with spherical explosives for the study of blast injury and its wound characteristics in the maxillofacial region. METHODS:Different spherical explosives were used to produce blast waves and to establish the wound model. Fresh sheep heads a...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Wang Z,Liu Y,Lei D,Bai Z,Zhou S

    更新日期:2003-04-01 00:00:00

  • The Impact of a Virtual Radiology Medical Student Rotation: Maintaining Engagement During COVID-19 Mitigation.

    abstract:INTRODUCTION:The purpose of this study is to introduce a virtual radiology rotation curriculum that is being used to safely maintain medical student and intern education and engagement with the Department of Radiology at Walter Reed National Military Medical Center during coronavirus disease 2019 (COVID-19) mitigation....

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Adams CC,Shih R,Peterson PG,Lee MH,Heltzel DA,Lattin GE

    更新日期:2020-10-03 00:00:00

  • Effects of personal and occupational stress on injuries in a young, physically active population: a survey of military personnel.

    abstract::The aim of this study was to document risk factors for any injury and sports- and exercise-related injuries, including personal and occupational stress among active duty service members (SMs) in the Air Force, Army, Marine Corps, and Navy. A total of 10,692 SMs completed the April 2008 Status of Forces Survey of Activ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Bedno S,Hauret K,Loringer K,Kao TC,Mallon T,Jones B

    更新日期:2014-11-01 00:00:00

  • The Effect of Deployment on Pulmonary Function in Military Personnel With Asthma.

    abstract:INTRODUCTION:Military personnel with a diagnosis of asthma report increased respiratory symptoms in the deployment and post-deployment periods. The long-term effect of deployment on pulmonary function in this population is unknown. This study sought to determine the effect of deployment on post-deployment pulmonary fun...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Woods JT,Walter RJ,Houle MC,Barber BS,Morris MJ

    更新日期:2020-12-21 00:00:00

  • Deep water running: an effective non-weightbearing exercise for the maintenance of land-based running performance.

    abstract::Deep water running (DWR) has become a well-recognized from of cardiovascular conditioning for injured athletes and has been used successfully to maintain running performance. DWR provides for decreased stress and weightbearing to injured tissue and joints, allows for maintenance of cardiovascular fitness and a trainin...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Burns AS,Lauder TD

    更新日期:2001-03-01 00:00:00

  • Psychosocial and health correlates of types of traumatic event exposures among U.S. military personnel.

    abstract::The prevalence of lifetime exposure to violence, natural disaster, or major accidents involving injuries or fatalities was examined in the largest population-based epidemiologic survey of U.S. military personnel to date. The psychosocial and health effects of types of exposure experience (witness only, victim/survivor...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hourani LL,Yuan H,Bray RM

    更新日期:2003-09-01 00:00:00

  • Characterization of Protection Mechanisms to Blast Overpressure for Personal Hearing Protection Devices - Biomechanical Measurement and Computational Modeling.

    abstract::Hearing damage induced by blast exposure is a common injury in military personnel involved in most operation activities. Personal hearing protection devices such as earplugs come as a standard issue for Service members; however, it is not clear how to accurately evaluate the protection mechanisms of different hearing ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Gan RZ,Leckness K,Smith K,Ji XD

    更新日期:2019-03-01 00:00:00

  • Management of Bullet Emboli to the Heart and Great Vessels.

    abstract:INTRODUCTION:Firearm-related injuries account for 20% of all injury-related deaths and are responsible for 105,000 injuries annually. The occurrence of bullet emboli to the heart is exceedingly rare. Given the rarity of emboli, controversy exists over management. The primary endpoint of this study is to establish a man...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Yoon B,Grasso S,Hofmann LJ

    更新日期:2018-09-01 00:00:00

  • Photographic cockpit model for prescribing multifocals.

    abstract::Recent interest in the relevancy of near vision tests for presbyopic aircrew members has led to the development of a photographic cockpit model. This model is used to prescribe more accurately for flying personnel. Prescriptions can be evaluated by use of trial lenses. This allows the aircrew members to experience the...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Powell JH

    更新日期:1992-01-01 00:00:00

  • Psychological and performance effects of chemical-biological protective clothing and equipment.

    abstract::Civilian emergency response personnel who assist at chemical or biological disaster scenes are likely to be novices at functioning in chemical-biological (C-B) protective clothing (CBC) meant for use on contaminated battlefields. Such teams must be aware that CBC imposes numerous physiological, psychophysiological, an...

    journal_title:Military medicine



    authors: Krueger GP

    更新日期:2001-12-01 00:00:00

  • Paging the worldwide cardiology consultant: the Army Knowledge Online Telemedicine Consultation Program in cardiology.

    abstract:BACKGROUND:Global operations place large numbers of military and nonmilitary personnel in austere environments. Aeromedical evacuation for cardiovascular issues is periodically required. The Army Knowledge Online (AKO) Telemedicine Consultation Program was initiated by the Office of the Surgeon General to electronicall...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Rand ER,Lappan CM,Lee JC,Furgerson JL

    更新日期:2009-11-01 00:00:00

  • Dimensionality, reliability, and validity of the combat experiences scale.

    abstract::Few studies have measured combat exposure during deployment to a war zone. Valid, reliable, and specific measurement is needed to broaden existing knowledge of combat experiences to accurately answer clinically important questions regarding postcombat treatment and recovery, particularly with the recognition of new ki...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Guyker WM,Donnelly K,Donnelly JP,Dunnam M,Warner GC,Kittleson J,Bradshaw CB,Alt M,Meier ST

    更新日期:2013-04-01 00:00:00

  • Prevention of pelvic stress fractures in female army recruits.

    abstract::In 1991-1992, a pelvic stress fracture incidence of 11.2% was recorded in a cohort of 143 female Australian Army recruits. An incidence of 0.1% was recorded in a cohort of male recruits trained in the 1992-1993 year using a nearly identical program. A number of preventive strategies were instituted in an attempt to re...

    journal_title:Military medicine

    pub_type: 临床试验,杂志文章


    authors: Pope RP

    更新日期:1999-05-01 00:00:00

  • Military operations at moderate altitude: effects on physical performance.

    abstract::The purpose of this study was to examine changes in select anaerobic and aerobic dependent physical performance tasks in U.S. Marines exposured to field operations at moderate altitude. The subjects (N = 16) completed Wingate anaerobic power, submaximal aerobic cycle ergometry, hand grip strength, and push-up tests on...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Hackney AC,Kelleher DL,Coyne JT,Hodgdon JA

    更新日期:1992-12-01 00:00:00

  • Essential Medications for Patients With Suspected or Confirmed Ebola Virus Disease in Resource-Limited Environments.

    abstract:BACKGROUND:In 2014, the U.S. Public Health Service (USPHS) Commissioned Corps deployed to Monrovia, Liberia, to operate a 25-bed Ebola treatment unit (ETU) constructed by the U.S. Military. The ETU was named the Monrovia Medical Unit (MMU) and was constructed from an U.S. Air Force Expeditionary Medical Support (EMEDS)...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Pierce WF,Ready SD,Chapman JT,Kulick C,Shields A,Wang J,Andrews K,Childs RW,Bell C,Kosyak A,Pham J

    更新日期:2017-09-01 00:00:00

  • Skin lesions in barracks: consider community-acquired methicillin-resistant Staphylococcus aureus infection instead of spider bites.

    abstract::Recent outbreaks of mysterious skin lesions on multiple personnel at several military facilities were initially blamed on spiders. Requests were made for pest inspection and control to remedy the situation. Greater scrutiny of the situation led to a hypothesis that instead of spiders, an infectious outbreak of communi...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Pagac BB,Reiland RW,Bolesh DT,Swanson DL

    更新日期:2006-09-01 00:00:00

  • The U.S. Army Occupational and Environmental Medicine Residency at Aberdeen Proving Ground, Maryland: 1960-1996.

    abstract:BACKGROUND:Reorganization of the Army and critical assessment of Army Graduate Medical Education programs prompted the Occupational and Environmental Medicine (OEM) Consultant to the Army Surgeon General to initiate a review of current Army OEM residency training. Available information indicated the Army OEM residency ...

    journal_title:Military medicine

    pub_type: 历史文章,杂志文章


    authors: Gaydos JC,Mallon TM,Rice WA

    更新日期:2016-11-01 00:00:00

  • A Patient-Controlled Analgesia Adaptor to Mitigate Postsurgical Pain for Combat Casualties With Multiple Limb Amputation: A Case Series.

    abstract::The use of explosive armaments during Operation Iraqi Freedom, Operation Enduring Freedom, and Operation New Dawn has resulted in a significant number of injured U.S. service members. These weapons often generate substantial extremity trauma requiring multiple surgical procedures to preserve life, limb, and restore fu...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Pasquina PF,Isaacson BM,Johnson E,Rhoades DS,Lindholm MP,Grindle GG,Cooper RA

    更新日期:2016-08-01 00:00:00

  • Women as prisoners of war.

    abstract::American women are increasingly becoming involved in combat-related roles. Inevitably, our country will have several killed and taken prisoner. No National Academy of Science/National Research Council or VA study has ever been undertaken to examine the chronic sequelae of the experiences undergone by these captured wo...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Skelton WP 3rd,Skelton NK

    更新日期:1995-11-01 00:00:00

  • Pediatric thyroid carcinoma in the military population.

    abstract::A 30-year review of the Armed Forces Tumor Registry revealed that of 3,126 thyroid cancers on file, 82 were in the pediatric population. All of these cases were reviewed, and the mean age was found to be 13.8 years. There as a male-to-female ratio of 1:2.3. At the time of diagnosis, 33% had regional nodes and 6% had d...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Wassmuth Z,Ramirez SG

    更新日期:1997-07-01 00:00:00

  • Occupational back disability in U.S. Army personnel.

    abstract::Musculoskeletal disorders represent a prevalent source of outpatient visits, lost work time, hospitalization, and disability in the military. Recent research has identified patterns among military occupations, gender, and musculoskeletal disability. Although back disorders accounted for a high percentage of all cases,...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Berkowitz SM,Feuerstein M,Lopez MS,Peck CA Jr

    更新日期:1999-06-01 00:00:00

  • Trends in Androgen Prescriptions From Military Treatment Facilities: 2007 to 2011.

    abstract:INTRODUCTION:The role of testosterone in health and quality of life has become increasingly visible and overtly marketed to the public. Some evidence suggests that testosterone levels in men may be low because of a variety of reasons, including stress and environmental exposures. OBJECTIVE:This study examines trends i...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Canup R,Bogenberger K,Attipoe S,Jones DR,Olsen CH,Stephens MB,Deuster PA

    更新日期:2015-07-01 00:00:00

  • History of high-velocity impact water trauma at Letterman Army Medical Center: a 54-year experience with the Golden Gate Bridge.

    abstract::Three time frames were studied during the 54-year history of the Golden Gate Bridge from 1937 to 1991. During that period of time, there were 918 documented jumps from this majestic structure to the water 250 feet below. The last 15 years provided us with 297 consecutive patients, all brought to one institution, which...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Lafave M,LaPorta AJ,Hutton J,Mallory PL 2nd

    更新日期:1995-04-01 00:00:00

  • New Onset Migraine Associated With a Civilian Burn Pit.

    abstract:BACKGROUND:Deployed service members exposed to burn pit smoke can experience a multitude of symptoms. Respiratory symptoms after burn pit smoke exposure are well recognized, but neurologic symptoms are less well recognized. There are reports of migraines triggered by odors but no specific reports of new onset migraines...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Chalela JA

    更新日期:2017-05-01 00:00:00

  • Safety and efficacy of DEET and permethrin in the prevention of arthropod attack.

    abstract::Many preventable diseases affecting troop strength are directly attributed to disease-carrying insects. The first line of defense against arthropod vectors is the use of personal protective measures. The concurrent application of DEET (N,N-diethyl-m-toluamide) repellent on the skin and permethrin [(3-phenoxy-phenyl)me...

    journal_title:Military medicine

    pub_type: 杂志文章,评审


    authors: Young GD,Evans S

    更新日期:1998-05-01 00:00:00

  • Allergic rhinitis in the Middle East.

    abstract:BACKGROUND:Current military operations in the Middle East involve active duty, National Guard, and reserve troops from all services. Despite common misconceptions, the desert environment in this region has significant aeroallergen seasons that may exacerbate allergic rhinitis. OBJECTIVE:To review perennial and seasona...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Waibel KH

    更新日期:2005-12-01 00:00:00

  • Input of a Multi-Disciplinary Meeting in the Treatment of Osteoarticular Infections in French War Casualties.

    abstract:INTRODUCTION:Extremity war-wounds present an elevated risk of infection and compromise reconstructive procedures. In a French military hospital, a multi-disciplinary meeting (MDM) was created to standardize the care given to soldiers with osteoarticular infection. The aim of this study was to evaluate the usefulness of...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Grosset A,Mangin P,MacNab C,Pfister G,de l'Escalopier N,Cournac JM,Aletti M,Samson T,Rigal S,Mathieu L

    更新日期:2019-05-01 00:00:00

  • Occupational Therapy Practice Patterns for Military Service Members With Upper Limb Amputation.

    abstract:INTRODUCTION:Military Service Members (SMs) with upper limb (UL) amputation have unrestricted access to occupational therapy (OT) services. Identifying OT interventions used based on clinical rationale and patient needs can provide insight toward developing best practice guidelines. The purpose of this retrospective ob...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Cancio JM,Orr A,Eskridge S,Shannon K,Mazzone B,Farrokhi S

    更新日期:2020-03-02 00:00:00

  • The future of post-residency fellowship education.

    abstract::Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student ...

    journal_title:Military medicine

    pub_type: 杂志文章


    authors: Welner AH

    更新日期:1993-04-01 00:00:00