Comparison of surf lifesaver pressure point control and a commercial arterial tourniquet for major lower limb haemorrhage: A randomised controlled crossover pilot trial

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Furness, James
Abery, Philip
Kemp-Smith, Kevin
Bruce, Kimberly
Lamond, David
Taylor, Nicholas
Jones, Philip
Snelling, Peter J
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2023
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http://creativecommons.org/licenses/by-nc/4.0/
Abstract

OBJECTIVE: This pilot study compared non-medically trained surf lifesavers' (SLS) ability, after infographic training, to occlude the femoral artery using a pressure point (PP) versus an arterial tourniquet (AT). METHODS: Using a crossover design, eight SLS applied PP and AT to a participant's leg to occlude the femoral artery. Arterial flow, application time and perceived difficulty were recorded. RESULTS: PP achieved 89.7% and 50.8% blood flow reduction for PP and AT, respectively. Average application time was 50.63 and 113.5 s for PP and AT, respectively. Perceived difficulty using a Likert scale from 0 to 10 (0 being no difficulty and 10 being maximal difficulty) was 2.75 and 3.50 for PP and AT, respectively. CONCLUSION: Infographic-trained SLS showed superior blood flow occlusion using PP. This pilot study will inform a larger trial for untrained beachgoers.

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Emergency Medicine Australasia
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© 2023 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine. This is an open access article under the terms of the Creative Commons Attribution- NonCommercial License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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Emergency medicine
Clinical sciences
femoral artery
haemostatic technique
massive haemorrhage
pressure point
tourniquet
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Furness, J; Abery, P; Kemp-Smith, K; Bruce, K; Lamond, D; Taylor, N; Jones, P; Snelling, PJ, Comparison of surf lifesaver pressure point control and a commercial arterial tourniquet for major lower limb haemorrhage: A randomised controlled crossover pilot trial, Emergency Medicine Australasia, 2023
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