Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study

Valentín González-Alonso, María del Carmen Usero-Pérez, Raquel Seguido Chacón, Alicia Gómez de la Fuente, Jonathan Cortés-Martín, Raquel Rodríguez-Blanque () and Juan Carlos Sánchez-García
Additional contact information
Valentín González-Alonso: Departamento Simulación, Escuela Militar de Sanidad (EMISAN), Ministerio de Defensa, 28047 Madrid, Spain
María del Carmen Usero-Pérez: Departamento de Enfermería, Escuela Militar de Sanidad (EMISAN), 28047 Madrid, Spain
Raquel Seguido Chacón: Servicio de Sanidad de la Guardia Real, Ministerio de Defensa, 28048 Madrid, Spain
Alicia Gómez de la Fuente: Servicio de Sanidad de la Guardia Real, Ministerio de Defensa, 28048 Madrid, Spain
Jonathan Cortés-Martín: Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, 18071 Granada, Spain
Raquel Rodríguez-Blanque: Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, 18071 Granada, Spain
Juan Carlos Sánchez-García: Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, 18071 Granada, Spain

IJERPH, 2023, vol. 20, issue 3, 1-10

Abstract: 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.

Keywords: training; Stop the Bleed; tourniquet; bleeding control (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
References: View complete reference list from CitEc
Citations:

Downloads: (external link)
https://www.mdpi.com/1660-4601/20/3/2742/pdf (application/pdf)
https://www.mdpi.com/1660-4601/20/3/2742/ (text/html)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:20:y:2023:i:3:p:2742-:d:1057080

Access Statistics for this article

IJERPH is currently edited by Ms. Jenna Liu

More articles in IJERPH from MDPI
Bibliographic data for series maintained by MDPI Indexing Manager ().