EFFECTIVENESS OF THE COMBAT APPLICATION TOURNIQUET<sup>®</sup> (CAT<sup>®</sup>) FOR TREATING SEVERE LIMB TRAUMA IN PREHOSPITAL EMERGENCY MEDICINE

DOI
  • OKANO Yuichi
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • TERAZUMI Keiko
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • HORI Kouta
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • KATO Yoichi
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • OTSUKA Naomi
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • YAMAGA Junichi
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • KUWAHARA Ken
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • OKUMOTO Katsuki
    Department of Emergency Medicine, Kumamoto Red Cross Hospital
  • I Seishi
    Department of Emergency Medicine, Kumamoto Red Cross Hospital

Bibliographic Information

Other Title
  • 病院前診療での四肢重症外傷に対するCombat Application Tourniquet<sup>®</sup> (CAT<sup>®</sup>) の効果

Description

<p>　　In trauma cases, hemorrhaging is the factor associated with the greatest risk of death. In particular, hemorrhaging of the extremities is a preventable cause of death. At our hospital, we have equipped our helicopter ambulance with the Combat Application Tourniquet® (CAT®) since 2014, based on the concept of tactical combat casualty care (TC3). The CAT® is a tourniquet that is used to treat injuries that occur during combat. It is small, easy to affix, and is used to treat injuries of the extremities, where astriction can be difficult to achieve. In this study, 10 cases in which the CAT® was used were investigated to examine the efficacy of this approach. Hemostasis was achieved using the CAT®. The patients were transported to the emergency center with no subsequent re-bleeding or complications, and all cases had favorable outcomes. A comparison of the patients' on-site and emergency center revised trauma scores (RTS) indicated that their emergency center RTS were significantly better than their on-site RTS (7.6±0.2 vs. 7.0±0.3 ; p=0.021). This improvement in the patients' RTS could have been caused by the strong hemostatic effects of the CAT®. In future, we need to increase awareness of the CAT® and become proficient at using it. The CAT®, which has strong hemostatic effects, is useful for prehospital treatment.</p>

Journal

Keywords

Details 詳細情報について

  • CRID
    1390282680493052544
  • NII Article ID
    130005432246
  • DOI
    10.11382/jjast.30.444
  • ISSN
    21880190
    13406264
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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