Introduction: The widespread pre-hospital use of tourniquets, particularly in the upper limb, raises questions about associated morbidity, which has been little studied and may have serious consequences for functional prognosis.
Methods: A review of 9 patients was carried out, analyzing pre-hospital tourniquet use in terms of complications affecting recovery.
Results: There were serious complications: musculocutaneous nerve palsy in 1 patient, and compartment syndrome, rhabdomyolysis and ischemia-reperfusion syndrome in another. A role of prolonged pre-hospital tourniquet application in postoperative infection was also suspected in 2 patients.
Discussion: The risk-benefit ratio and indications for using a tourniquet on the upper limb in the pre-hospital setting need to be reconsidered.
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| http://dx.doi.org/10.1016/j.hansur.2024.101752 | DOI Listing |
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