000162661 001__ 162661
000162661 005__ 20251017144654.0
000162661 0247_ $$2doi$$a10.1186/s12873-023-00871-1
000162661 0248_ $$2sideral$$a145210
000162661 037__ $$aART-2023-145210
000162661 041__ $$aeng
000162661 100__ $$0(orcid)0000-0003-4998-5915$$aYánez Benítez, Carlos
000162661 245__ $$aTourniquet self-application assessment in cold weather conditions
000162661 260__ $$c2023
000162661 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162661 5203_ $$aBackground: Our study aimed to assess the ability of nonmedical civilians to self-apply extremity tourniquets in cold weather conditions while wearing insulating technical clothing after receiving basic training.
Methods: A field study was conducted among 37 voluntary participants of an expedition party to the Spanish Antarctic base. The researchers assessed the participant’s ability to self-apply five commercial extremity tourniquets (CAT, OMNA, RMT, SWAT-T, and RATS) over cold-weather clothing and their achieved effectiveness for vascular occlusion. Upper extremity self-application was performed with a single-handed technique (OHT), and lower extremity applying a two-handed technique (THT). Perceptions of self-application ease mean values ± standard deviation (SD) were compared by applying a 5% statistical significance threshold. Frequency count determined tourniquet preference.
Results: All the tested ETs, except the SWAT-T, were properly self-applied with an OHT, resulting in effective vascular occlusion in the upper extremity. The five devices tested were self-applied correctly in the lower extremities using THT. The ratcheting marine-designed OMNA ranked the highest for application easiness on both the upper and lower extremities, and the windlass CAT model was the preferred device by most participants.
Conclusions: Civilian extremity tourniquet self-application on both upper and lower extremities can be accomplished in cold weather conditions despite using cold-weather gloves and technical clothing after receiving brief training. The ratcheting marine-designed OMNA ranked the highest for application ease, and the windlass CAT model was the preferred device.
000162661 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162661 590__ $$a2.3$$b2023
000162661 591__ $$aEMERGENCY MEDICINE$$b13 / 54 = 0.241$$c2023$$dQ1$$eT1
000162661 592__ $$a0.745$$b2023
000162661 593__ $$aEmergency Medicine$$c2023$$dQ1
000162661 594__ $$a3.5$$b2023
000162661 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162661 700__ $$aLorente-Aznar, Teófilo
000162661 700__ $$aLabaka, Idurre
000162661 700__ $$aRibeiro Jr, Marcelo A. F.
000162661 700__ $$aViteri, Yosu
000162661 700__ $$aMorishita, Koji
000162661 700__ $$0(orcid)0000-0003-2672-5790$$aBaselga, Marta
000162661 700__ $$0(orcid)0000-0002-4437-2581$$aGüemes, Antonio$$uUniversidad de Zaragoza
000162661 7102_ $$11013$$2090$$aUniversidad de Zaragoza$$bDpto. Cirugía$$cÁrea Cirugía
000162661 773__ $$g23 (2023), 101 [8 pp.]$$tBMC Emergency Medicine$$x1471-227X
000162661 8564_ $$s1161224$$uhttps://zaguan.unizar.es/record/162661/files/texto_completo.pdf$$yVersión publicada
000162661 8564_ $$s2171507$$uhttps://zaguan.unizar.es/record/162661/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162661 909CO $$ooai:zaguan.unizar.es:162661$$particulos$$pdriver
000162661 951__ $$a2025-10-17-14:37:44
000162661 980__ $$aARTICLE