Prehospital tourniquet use tied to improved mobility and limb preservation in vascular extremity trauma
Recent data suggest tourniquet use decreases shock without increasing limb complications, supporting its use in prehospital settings.
According to a recent study published in Surgery, researchers from Case Western Reserve University, Cleveland, said that Encouraging tourniquet use in the civilian setting may improve outcomes and reduce limb loss risk, as it has been associated with increased functional mobility and decreased delayed amputation.
The researchers in this study established the Hypothesis that Prehospital tourniquet use in vascular extremity trauma reduces delayed amputation and improves mobility compared to no prehospital tourniquet application.
The team evaluated adults with extremity vascular trauma at an urban Level 1 trauma centre (2016-2021). Outcomes included delayed amputation and mobility at discharge, measured by the 6 Clicks Basic Mobility Score. Higher scores indicated better mobility. Data on injury mechanisms, lactate, transfusions, mortality, and kidney injury were also collected. χ2, Fisher Exact and Wilcoxon tests were used to perform comparisons.
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