Tourniquets as a haemorrhage control measure in military and civilian care settings: An integrative review
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Otros documentos de la autoría: Roman, Pablo; Rodriguez Alvarez, Amanda; Bertini-Perez, Daniel; Ropero-Padilla, Carmen; Martin-Ibañez, Luis; Rodriguez-Arrastia, Miguel
Metadatos
Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
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INVESTIGACIONMetadatos
Título
Tourniquets as a haemorrhage control measure in military and civilian care settings: An integrative reviewAutoría
Fecha de publicación
2021-05-09Editor
WileyISSN
0962-1067; 1365-2702Cita bibliográfica
Roman P, Rodriguez-Alvarez A, Bertini-Perez D, Ropero-Padilla C, Martin-Ibañez L, Rodriguez-Arrastia M. Tourniquets as a haemorrhage control measure in military and civilian care settings: An integrative review. J Clin Nurs. 2021;00:1–11. https://doi.org/10.1111/ jocn.15834Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1365-2702Versión
info:eu-repo/semantics/acceptedVersionPalabras clave / Materias
Resumen
Abstract
Aims and objectives: The aim of review was to describe and synthesise the evidence
on the use of tourniquets to control haemorrhages, summarising both civilian and
military use.
Background: Trauma-related ... [+]
Abstract
Aims and objectives: The aim of review was to describe and synthesise the evidence
on the use of tourniquets to control haemorrhages, summarising both civilian and
military use.
Background: Trauma-related haemorrhage constitutes one of the most preventable
deaths among injured patients, particularly in multi-casualty incidents and disasters.
In this context, safe instruments such as tourniquets are essential to help healthcare
professionals to minimise loss of life and maximise patient recovery.
Design and methods: An integrative review was conducted in Medline, Nursing &
Allied Health Premium, and Health & Medical Collection, using published data until
March 2021 and following the PRISMA guidelines.
Results: A total of 25 articles were included. Evidence has been synthesised to understand the use of different types of tourniquets, environment of application, indication for their placement and potential complications associated with tourniquet
placement.
Conclusions: Commercial tourniquets such as Combat Application Tourniquet or
Emergency Tourniquet models are a valuable and safe instrument for haemorrhage
control in both military and civilian out-of-hospital care settings. Nurses, as part of
emergency teams, and other professionals should be aware that there is a possibility
of adverse complications, but they are directly proportional to the time of tourniquet
placement and generally temporary. In addition, national and international guidelines
ensure the need for all civilian emergency services to be equipped with these devices,
as well as for the training of healthcare professionals and first responders in their use.
Relevance to clinical practice: Despite the lack of complications in the use of tourniquets in these cases, their use has been a matter of debate for decades. In this sense,
this review yields up-to-date guidelines in the use of tourniquets, their recommendations and their significance among professionals to manage complicated situations. [-]
Publicado en
J Clin Nurs. 2021;00:1–11Datos relacionados
https://onlinelibrary.wiley.com/action/downloadFigures?id=jocn15834-fig-0001&doi=10.1111%2Fjocn.15834jocn15834-sup-0001-FileS1.doc
jocn15834-sup-0002-TableS1.docx
Derechos de acceso
© 2021 John Wiley & Sons Ltd
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info:eu-repo/semantics/openAccess
http://rightsstatements.org/vocab/InC/1.0/
info:eu-repo/semantics/openAccess
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