Abstract:
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.
journal_name
Mil Medjournal_title
Military medicineauthors
Nachman D,Dulce D,Wagnert-Avraham L,Gavish L,Mark N,Gerrasi R,Gertz SD,Eisenkraft Adoi
10.1093/milmed/usz351subject
Has Abstractpub_date
2020-01-07 00:00:00pages
96-102issue
Suppl 1eissn
0026-4075issn
1930-613Xpii
5740799journal_volume
185pub_type
杂志文章abstract:OBJECTIVE:National Guard service members face deactivation from active duty soon after they return to the United States and rapid entry into the civilian workforce; therefore, it is important to examine employment among these Veterans. METHODS:The sample included 585 National Guard service members. Bivariate and multi...
journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-10-00450
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abstract::Sudden cardiac death in seemingly healthy young people during exertion has led to preparticipation assessment of athletes. Typically, cardiac evaluation is limited to auscultation by a primary care provider. Screening electrocardiography is controversial. The value of limited echocardiography is unknown. High school a...
journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.10.945
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-12-00416
更新日期:2013-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1993-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.7.711
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journal_title:Military medicine
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doi:10.7205/MILMED-D-14-00258
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-02-5908
更新日期:2009-05-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.172.4.436
更新日期:2007-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1996-12-01 00:00:00
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journal_title:Military medicine
pub_type: 历史文章,杂志文章
doi:10.7205/MILMED-D-13-00039
更新日期:2013-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1999-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa545
更新日期:2021-01-27 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.8.796
更新日期:2008-08-01 00:00:00
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journal_title:Military medicine
pub_type: 临床试验,杂志文章,随机对照试验
doi:
更新日期:2001-11-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usy375
更新日期:2019-07-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.173.6.563
更新日期:2008-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:1992-08-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.1093/milmed/usaa070
更新日期:2020-09-18 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed.170.1.26
更新日期:2005-01-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-14-00255
更新日期:2015-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/milmed-d-12-00341
更新日期:2012-12-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:
更新日期:2003-04-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章,随机对照试验
doi:10.7205/milmed-d-11-00396
更新日期:2012-06-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00090
更新日期:2017-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
doi:10.7205/MILMED-D-16-00022
更新日期:2017-03-01 00:00:00
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journal_title:Military medicine
pub_type: 杂志文章
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更新日期:2018-03-01 00:00:00