Morbidity associated with pre-hospital upper-limb tourniquet in civilian trauma: a case series - 12/09/24
, Michel Chammas a , Cyril Lazerges a , Bertrand Coulet a , Jonathan Charbit b , Pierre-Emmanuel Chammas a Abstract |
Introduction |
The widespread pre-hospital use of tourniquets, particularly in the upper limb, raises questions about associated morbidity, which has been little studied and may have serious consequences for functional prognosis.
Methods |
A review of 9 patients was carried out, analyzing pre-hospital tourniquet use in terms of complications affecting recovery.
Results |
There were serious complications: musculocutaneous nerve palsy in 1 patient, and compartment syndrome, rhabdomyolysis and ischemia-reperfusion syndrome in another. A role of prolonged pre-hospital tourniquet application in postoperative infection was also suspected in 2 patients.
Discussion |
The risk-benefit ratio and indications for using a tourniquet on the upper limb in the pre-hospital setting need to be reconsidered.
Le texte complet de cet article est disponible en PDF.Keywords : Tourniquet, Pre-hospital, Hand, Complication, Amputation, Trauma, Damage control
Plan
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