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Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study
Among the main preventable causes of death in the area of operations is external exsanguinating hemorrhage in the extremities, hence the importance of the tourniquet as a therapeutic tool in this type of injury and, therefore, of the training of personnel participating in international missions. The...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914968/ https://www.ncbi.nlm.nih.gov/pubmed/36768112 http://dx.doi.org/10.3390/ijerph20032742 |
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author | González-Alonso, Valentín Usero-Pérez, María del Carmen Seguido Chacón, Raquel Gómez de la Fuente, Alicia Cortés-Martín, Jonathan Rodríguez-Blanque, Raquel Sánchez-García, Juan Carlos |
author_facet | González-Alonso, Valentín Usero-Pérez, María del Carmen Seguido Chacón, Raquel Gómez de la Fuente, Alicia Cortés-Martín, Jonathan Rodríguez-Blanque, Raquel Sánchez-García, Juan Carlos |
author_sort | González-Alonso, Valentín |
collection | PubMed |
description | Among the main preventable causes of death in the area of operations is external exsanguinating hemorrhage in the extremities, hence the importance of the tourniquet as a therapeutic tool in this type of injury and, therefore, of the training of personnel participating in international missions. The main objective of this study is to determine the impact of training in the application of this device. This is a quasi-experimental, prospective, cross-sectional study, carried out with 97 healthy volunteers, military personnel who perform their work in the Royal Guard barracks of El Pardo. The study was conducted between June 2019 and July 2021. The correct determination of the device placement site and the times of correct device placement were evaluated by determining whether there was blood flow using Doppler ultrasound measurements. Statistically significant results were obtained for application time (76.68 s to 58.06 s; p < 0.001), correct device placement (p < 0.001), and achievement of complete ischemia in the upper extremity (23.7% pretest vs. 24.7% post-test; p < 0.001). In the lower extremity, after training, longer application duration (43.33 s to 47.30 s) and lower ischemia achievement (59.8% pretest vs. 37.8% post-test) were obtained. Standardized and regulated training improves device application. More intensive training is necessary to obtain better results. |
format | Online Article Text |
id | pubmed-9914968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-99149682023-02-11 Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study González-Alonso, Valentín Usero-Pérez, María del Carmen Seguido Chacón, Raquel Gómez de la Fuente, Alicia Cortés-Martín, Jonathan Rodríguez-Blanque, Raquel Sánchez-García, Juan Carlos Int J Environ Res Public Health Article Among the main preventable causes of death in the area of operations is external exsanguinating hemorrhage in the extremities, hence the importance of the tourniquet as a therapeutic tool in this type of injury and, therefore, of the training of personnel participating in international missions. The main objective of this study is to determine the impact of training in the application of this device. This is a quasi-experimental, prospective, cross-sectional study, carried out with 97 healthy volunteers, military personnel who perform their work in the Royal Guard barracks of El Pardo. The study was conducted between June 2019 and July 2021. The correct determination of the device placement site and the times of correct device placement were evaluated by determining whether there was blood flow using Doppler ultrasound measurements. Statistically significant results were obtained for application time (76.68 s to 58.06 s; p < 0.001), correct device placement (p < 0.001), and achievement of complete ischemia in the upper extremity (23.7% pretest vs. 24.7% post-test; p < 0.001). In the lower extremity, after training, longer application duration (43.33 s to 47.30 s) and lower ischemia achievement (59.8% pretest vs. 37.8% post-test) were obtained. Standardized and regulated training improves device application. More intensive training is necessary to obtain better results. MDPI 2023-02-03 /pmc/articles/PMC9914968/ /pubmed/36768112 http://dx.doi.org/10.3390/ijerph20032742 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article González-Alonso, Valentín Usero-Pérez, María del Carmen Seguido Chacón, Raquel Gómez de la Fuente, Alicia Cortés-Martín, Jonathan Rodríguez-Blanque, Raquel Sánchez-García, Juan Carlos Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title | Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title_full | Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title_fullStr | Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title_full_unstemmed | Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title_short | Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study |
title_sort | evaluation of the impact of a tourniquet training program: a cross-sectional study |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9914968/ https://www.ncbi.nlm.nih.gov/pubmed/36768112 http://dx.doi.org/10.3390/ijerph20032742 |
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