J B Holcomb, W C Dorlac, B G Drew, F K Butler, J M Gurney, H R Montgomery, S A Shackelford, E Bank, J D Kerby, J F Kragh, M A Person, J L Patterson, O Levchuk, A Mykola, G Bitiukov, O Danyljuk, O Linchevskyy
Limb tourniquets are among the most effective lifesaving interventions after severe injury. Tourniquets used for less than two hours have proven safe, even when in hindsight the tourniquet was determined not to have been necessary. However, tourniquets used for longer than 2 hours may result in severe ischemic changes, fasciotomy rhabdomyolysis, renal failure, amputation and death.Given their frequent use after even minor limb injury (>50%), as soon as safely feasible all limb tourniquets must be reassessed...
September 6, 2023: Journal of Trauma and Acute Care Surgery