Evidence map›Paper›PMID 36989123›Full record

ArticleInternational journal of circumpolar health2023

Analysis of tourniquet pressure over military winter clothing and a short review of combat casualty care in cold weather warfare.

Raimund Lechner, Yannick Beres, Amelie Oberst, Kristina Bank, Markus Tannheimer, Martin Kulla, Bjoern Hossfeld

Open access · goldAbstract read
In one paragraph

Article in International journal of circumpolar health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.6field-weighted citation impact, top 10% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Research progress of tourniquets and their application in the Russia-Ukraine Conflict.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025
    Review
  3. Article
  4. Article
  5. Review
  6. 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

7 authors at 2 institutions in 1 country.

Raimund LechnerBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.ORCID 0000-0002-5961-335X
Yannick BeresBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.
Amelie OberstBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.
Kristina BankBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.
Markus TannheimerUniversity Ulm, Department of Sport and Rehabilitation Medicine, Ulm, Germany.
Martin KullaBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.
Bjoern HossfeldBundeswehr Hospital Ulm, Department of Anesthesiology, Intensive Care Medicine, Emergency Medicine and Pain Therapy, Ulm, Germany.
Bundeswehrkrankenhaus · DEUniversity and Rehabilitation Clinics Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cold weather warfare is of increasing importance. Haemorrhage is the most common preventable cause of death in military conflicts. We analysed the pressure of the Combat Application Tourniquet® Generation 7 (CAT), the SAM® Extremity Tourniquet (SAMXT) and the SOF® Tactical Tourniquet Wide Generation 4 (SOFTT) over different military cold weather clothing setups with a leg tourniquet trainer. We conducted a selective PubMed search and supplemented this with own experiences in cold weather medicine. The CAT and the SAMXT both reached the cut off value of 180mmHg in almost all applications. The SOFTT was unable to reach the 180mmHg limit in less than 50% of all applications in some clothing setups. We outline the influence of cold during military operations by presenting differences between military and civilian cold exposure. We propose a classification of winter warfare and identify caveats and alterations of Tactical Combat Casualty Care in cold weather warfare, with a special focus on control of bleeding. The application of tourniquets over military winter clothing is successful in principle, but effectiveness may vary for different tourniquet models. Soldiers are more affected and impaired by cold than civilians. Military commanders must be made aware of medical alterations in cold weather warfare.

Indexed as

Military PersonnelTourniquetsClothingHemorrhageHumansWeatherarctic warfarecold weather warfarecritical bleedinghemostatic dressinghypothermiaTactical Combat Casualty Care

Identifiers

PMID36989123
PMCPMC10062217
OpenAlexW4361291460

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.