Evidence map›Paper›PMID 17652690›Full record

ReviewEmergency medicine journal : EMJ2007

Tourniquet use in the civilian prehospital setting.

C Lee, K M Porter, T J Hodgetts

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Emergency medicine journal : EMJ, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05605990 (Clinical Application and Validation of Innovative Tourniquet), which is not on this map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05605990 nacompletednot on this mapstarted 2022, after this paper: background citation

Clinical Application and Validation of Innovative Tourniquet

TypeinterventionalSponsorNational Cheng-Kung University HospitalRan2022 to 2023Enrolled160ConditionsCompartment Syndrome of ForearmArmsInnovative tourniquet (Acusense Nonpneumatic tourniquet)
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 162 citations in OpenAlex.

  1. Pooled it
  2. Prehospital Tourniquets in Civilians: A Systematic Review.Prehospital and disaster medicine · 2021
    Pooled it
  3. Guideline
  4. Combat application tourniquet (CAT) eradicates popliteal pulses effectively by correcting the windlass turn degrees: a trial on 145 participants.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2017
    Trial
  5. RECOVER Guidelines: First Aid in Dogs and Cats. Evidence and Knowledge Gap Analysis With Treatment Recommendations.Journal of veterinary emergency and critical care (San Antonio, Tex. : 2001) · 2026
    Article
  6. Article
  7. Article
  8. Increasing prehospital tourniquet use attributed to non-indicated use: an 11-year retrospective study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  9. Review
  10. Review
  11. Article
  12. Article
  13. Efficacy and safety of CounterFlow in animal models of hemorrhage.Journal of military, veteran and family health · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. Evaluating tourniquet use in Swedish prehospital care for civilian extremity trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021
    Article
  18. CoQ10 augments candesartan protective effect against tourniquet-induced hind limb ischemia-reperfusion: Involvement of non-classical RAS and ROS pathways.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2021
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

C LeeAcademic Department of Traumatology, West Midlands, UK. drcarolinelee@hotmail.com
K M Porter
T J Hodgetts
Birmingham Research Park · GBRoyal Navy · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tourniquets are an effective means of arresting life-threatening external haemorrhage from limb injury. Their use has not previously been accepted practice for pre-hospital civilian trauma care because of significant concerns regarding the potential complications. However, in a few rare situations tourniquet application will be necessary and life-saving. This review explores the potential problems and mistrust of tourniquet use; explains the reasons why civilian pre-hospital tourniquet use may be necessary; defines the clear indications for tourniquet use in external haemorrhage control; and provides practical information on tourniquet application and removal. Practitioners need to familiarise themselves with commercial pre-hospital tourniquets and be prepared to use one without irrational fear of complications in the appropriate cases.

Indexed as

TourniquetsCaregiversDevice RemovalEmergency Medical ServicesHemorrhageHumansMilitary MedicinePractice Guidelines as TopicTransportation of Patients

Identifiers

PMID17652690
PMCPMC2660095
OpenAlexW2159103174

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.