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Tourniquet Application and Topical Hemostatics

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Interventional Critical Care

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Abstract

Hemorrhagic shock is a life-threatening and time-sensitive condition that can be mitigated and reversed by a number of techniques including transfusions to replace blood loss and reverse anticoagulation, direct pressure and tourniquets to mechanically reduce blood loss, surgical techniques to directly close vessels and wounds, and hemostatic agents to reduce blood loss by improving coagulation of blood on tissue surfaces. In this chapter, we will discuss two of these methods that are easily learned and readily available for the advanced practice provider. Direct pressure and tourniquet placement are vital to extremity injury management to prevent blood loss. Central wounds and specific sites not able to be compressed are also amendable to hemostatic materials impregnated with pro-coagulant agents or directly bound to thrombin and/or fibrin to stimulate clot formation. These are often used for surgery and can be valuable adjuncts at the bedside in the emergency room, wards, and ICU.

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Author information

Authors and Affiliations

  1. Division of Acute Care Surgery, Department of Surgery, Atrium Health’s Carolinas Medical Center, Charlotte, NC, USA

    Sarah A. Mulkey

  2. Department of Surgery, Atrium Health, Charlotte, NC, USA

    Jessica Surane

  3. Division of Acute Care Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA

    Samuel Wade Ross

Authors
  1. Sarah A. Mulkey
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  2. Jessica Surane
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  3. Samuel Wade Ross
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Corresponding author

Correspondence to Samuel Wade Ross .

Editor information

Editors and Affiliations

  1. Department of Surgery, Wake Forest University School of Medicine, Winston-Salem, NC, USA

    Dennis A. Taylor

  2. Department of Surgery, Oregon Health & Science University, Portland, OR, USA

    Scott P. Sherry

  3. Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA

    Ronald F. Sing

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Mulkey, S.A., Surane, J., Ross, S.W. (2021). Tourniquet Application and Topical Hemostatics. In: Taylor, D.A., Sherry, S.P., Sing, R.F. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-64661-5_16

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  • DOI: https://doi.org/10.1007/978-3-030-64661-5_16

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64660-8

  • Online ISBN: 978-3-030-64661-5

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