Comparison of 4 Tactical Tourniquets Used in War Medicine
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Hemorrhage
- Sponsor
- Direction Centrale du Service de Santé des Armées
- Enrollment
- 46
- Locations
- 1
- Primary Endpoint
- Time required to apply the tactical tourniquet.
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Bleeding remains the leading cause of death in combat, and the literature suggests that tourniquetable hemorrhage is the second leading cause of preventable death, behind non- tourniquetable hemorrhage.
Currently, most Western armed forces recommend the use of the tactical tourniquet in combat for the management of tourniquetable hemorrhage.
The SOFTT® tourniquet (Tactical Medical Solutions, Anderson) is the tactical tourniquet currently in use by the French armed forces. As the contract will soon come to an end, the question of its renewal arises.
The purpose of this study is to compare 4 commercially available tactical tourniquets in healthy volunteers.
The hypothesis of the research is that one of the 4 tourniquets compared is faster to set up than the others.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age ≥ 18 years;
- •Student of the Military Health School of Lyon Bron (Ecoles Militaires de Santé de Lyon Bron; EMSLB);
- •Periodic medical examination up to date with the mention "fitness for duty";
- •Holder of the "Combat Rescue Level 1" training.
Exclusion Criteria
- •Vascular pathology;
- •Current progressive pathology of any kind;
- •History of thrombo-embolic disease;
- •Presence of cardiovascular risk factors (diabetes, hypertension, dyslipidemia, smoking \> 1 cigarette/day, BMI \> 25);
- •Iliofemoral and axillary vascular abnormalities detected by systematic Doppler ultrasound;
- •Presence of symptoms suggestive of COVID-19;
- •Positive COVID-19 antigen test;
- •In contact with a person diagnosed positive for COVID-19 within 15 days prior to inclusion;
- •Pregnant or breastfeeding woman.
Outcomes
Primary Outcomes
Time required to apply the tactical tourniquet.
Time Frame: Each day during 4 consecutive days
The tourniquet application time, in seconds, measured with a stopwatch. The stopwatch will be started when the fitter takes the tourniquet, pre-positioned in a tourniquet pouch on his bullet vest. The stopwatch will be stopped as soon as at least one of the following conditions is verified * the fitter judges the fitting to be effective * the fitter cannot tighten any more (technical limit) * the tourniquet is too painful for the receiver.
Secondary Outcomes
- Rusticity of the tactical tourniquet(Each day during 4 consecutive days)
- Pain experienced by the receiver during application of the tactical tourniquet(Each day during 4 consecutive days)
- Occlusion of the downstream arterial flow following after tactical tourniquet application(Each day during 4 consecutive days)
- Ease of use of the tactical tourniquet(Each day during 4 consecutive days)
- Stability of the tactical tourniquet(Each day during 4 consecutive days)