2018 Trauma University: Use of Tourniquets-Use of Tourniquets

Video Transcription

Video Summary

In this video, Dr. Kaufman discusses the importance of tourniquets in controlling hemorrhage. He shares his experience as the acute care surgery medical director at a level one trauma center in Myrtle Beach, South Carolina. He mentions that tourniquets are now considered effective in stopping bleeding, whereas in the past they were not. He also highlights other important topics related to trauma care, such as TXA, PCC, reversal of anticoagulants, vascular access, controlled resuscitation, and hemostatic resuscitation. Dr. Kaufman emphasizes that hemorrhage is the second leading cause of trauma death and that early mortality is often due to continued bleeding, coagulopathy, and incomplete resuscitation. He discusses the importance of preventing bleeding and the need for widespread education on hemorrhage control. He explains the use of tourniquets and other advanced hemorrhage control devices, as well as techniques for junctional hemorrhage control. Dr. Kaufman also briefly mentions fresh whole blood and discusses the use of retrograde endovascular balloon occlusion of the aorta (REBOA) for controlling life-threatening hemorrhage.

Keywords

tourniquets

hemorrhage control

trauma care

bleeding prevention

education on hemorrhage control

REBOA