Removal of the Prehospital Tourniquet in the Emergency Department

BackgroundLife-threatening hemorrhage from extremity injuries can be effectively controlled in the prehospital environment through direct pressure, wound packing, and use of tourniquets. Early tourniquet application has been prioritized for rapid control severe is a cornerstone trauma resuscitation guidelines. Emergency physicians must knowledgeable regarding initial assessment appropriate management patients who present with place.DiscussionAn interdisciplinary group experts including emergency physicians, surgeons, tactical Medical Services collaborated to develop stepwise approach removal (discontinuation) an department after being placed setting. We have developed best-practices guideline serve as resource aid physician how safely remove tourniquet. The contains five steps that include: 1) Determine long place; 2) Evaluate contraindications removal; 3) Prepare 4) Release tourniquet; 5) Monitor reassess patient.ConclusionThese outlined will help medicine clinicians appropriately evaluate manage presenting tourniquets place. Tourniquet should performed systematic manner plans place immediately address complications.