Combat-tested abdominal/junctional tourniquet proven equivalent to REBOA

Junctional tourniquets are awesome and extremely beneficial. Having said that, the article is biased and written by someone with a vested interest in the product. Outcomes may be similar due to general mechanism however it is not equivalent to a REBOA. Junctional TQs have practical advantages over REBOA and are definitely more usable on broader scale. But even some SF unit medics are starting to place REBOA .
 
Links to two studies
Summit said:
Expensive, large, and potential complications. But it can also save previously unsalvagable patients...


This one shows it is equal to REBOA in swine: https://www.ncbi.nlm.nih.gov/pubmed/29661286

Interesting proposition for us in CPR in hemorrhagic arrest validated in a swine model:
https://www.ncbi.nlm.nih.gov/pubmed/28885969

Seems like it would also be efficacious in most non-traumatic arrests as a temporizing measure since it should boost perfusion pressure with a smaller effective systemic circuit to pressurize through compressions.
Click to expand...
 
That's neat, but that article seems more like a paid placement than true journalism.

I've never used the device in question, but how is it different than a SAM junctional tourniquet?

Not doubting, just playing devil's advocate. We have Sam Pelvic slings and the Sam Junctional tourniquet is not much more than a Sam Pelvic slings with an inflatable bladder attached.
 
They're on my list of things I wish we had. I've seen two junctional injuries, one which died, that would have benefitted from this.

I'd be curious to see the comparison to SAM as well.
 
You must log in or register to reply here.
Back
Top