Although most extremity hemorrhage from trauma can be controlled with direct pressure and/or pressure dressings, the occasional uncontrolled hemorrhage can be life threatening. Tools that may be able to control such life-threatening extremity hemorrhage include hemostatic dressings, tourniquets, and several new devices that have recently become available. Hemostatic dressings, a relatively new concept, incorporate materials that increase coagulation into a dressing that is applied directly to the wound. Although the use of tourniquets has a long history, recent military conflicts have provided numerous studies that supported and refined their use. The novel extremity hemorrhage control devices effectively control bleeding in one of several ways: direct compression, arterial compression above the level of injury, and sealing the wounds’ edges, creating a hematoma.
Trauma| February 01 2016
Control of Traumatic Extremity Hemorrhage
Michael W. Day, RN, MSN, CCRN, TCRN
Michael W. Day is a trauma clinical practice specialist at Northeast Georgia Medical Center in Gainesville, Georgia.
Corresponding author: Michael W. Day, rn, msn, ccrn, Northeast Georgia Medical Center, 743 Spring Street, Gainesville, GA 30506 (e-mail: firstname.lastname@example.org).
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Crit Care Nurse (2016) 36 (1): 40-51.
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Michael W. Day; Control of Traumatic Extremity Hemorrhage. Crit Care Nurse 1 February 2016; 36 (1): 40–51. doi: https://doi.org/10.4037/ccn2016871
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