SynthesisPrehospital and disaster medicine2021
Prehospital Tourniquets in Civilians: A Systematic Review.
Synthesis in Prehospital and disaster medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 45 citations in OpenAlex.
- The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition.Critical care (London, England) · 2023Guideline
- Effectiveness and retention of extremity and junctional tourniquet training among medical interns.BMC medical education · 2026Article
- Comparison of the Effectiveness of the DNIPRO Gen 2 and SICH Tourniquets Versus the CAT Gen 7 and SOFTT-W Gen 4 Tourniquets.Medicina (Kaunas, Lithuania) · 2026Article
- Smart, automated junctional tourniquets leveraging AI-driven ultrasound guidance.Scientific reports · 2026Article
- Efficacy of publicly accessible tourniquets: a systematic review of layperson performance utilizing simulation models.Advances in simulation (London, England) · 2025Article
- Assessing Evidence Bias for Prehospital Tourniquet Use: A Scoping Review.World journal of surgery · 2025Article
- 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 · 2025Article
- Evaluation of a Semi-Automated Ultrasound Guidance System for Central Vascular Access.Bioengineering (Basel, Switzerland) · 2024Article
- Prehospital tourniquet application in extremity vascular trauma: Improved functional outcomes.Surgery · 2023Article
- Article
- Advancing the scientific study of prehospital mass casualty response through a Translational Science process: the T1 scoping literature review stage.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Traumatic hemorrhage and chain of survival.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Review
- Brief Training of Technical Bleeding Control Skills-A Pilot Study with Security Forces.International journal of environmental research and public health · 2023Article
- Prehospital extremity tourniquet placements-performance evaluation of non-EMS placement of a lifesaving device.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Singapore First Aid Guidelines 2021.Singapore medical journal · 2021Article
- February 6Turkish journal of emergency medicineReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTerrorist attacks and civilian mass-casualty events are frequent, and some countries have implemented tourniquet use for uncontrollable extremity bleeding in civilian settings. The aim of this study was to summarize current knowledge on the use of prehospital tourniquets to assess whether their use increases the survival rate in civilian patients with life-threatening hemorrhages from the extremities.
designSystematic literature review in Medline (Ovid), Embase (Ovid), Cochrane Library, and Epistemonikos was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guidelines. The search was performed in January 2019.
settingAll types of studies that examined use of tourniquets in a prehospital setting published after January 1, 2000 were included. PRIMARY/SECONDARY OUTCOMES: The primary outcome was mortality with and without tourniquet, while adverse effects of tourniquet use were secondary outcomes.
resultsAmong 3,460 screened records, 55 studies were identified as relevant. The studies were highly heterogeneous with low quality of evidence. Most studies reported increased survival in the tourniquet group, but few had relevant comparators, and the survival benefit was difficult to estimate. Most studies reported a reduced need for blood transfusion, with few and mainly transient adverse effects from tourniquet use.
conclusionDespite relatively low evidence, the studies consistently suggested that the use of commercial tourniquets in a civilian setting to control life-threatening extremity hemorrhage seemed to be associated with improved survival, reduced need for blood transfusion, and few and transient adverse effects.
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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.