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A hybrid simulator model for the control of catastrophic external junctional haemorrhage in the military environment
Sahlgrenska University Hospital, Swedish Armed Forces Centre for Defence Medicine.
University of Borås, Faculty of Caring Science, Work Life and Social Welfare. (PreHospen)
University of Borås, Faculty of Caring Science, Work Life and Social Welfare.
2016 (English)In: Advances in Simulation, ISSN 2059-0628, Vol. 1, no 5, 2016 1:5 DOI: 10.1186/s41077-016-0008-zArticle in journal (Refereed) Published
Abstract [en]

Catastrophic haemorrhage from extremity injuries has for a long time been the single most common cause of preventable death in the military environment. The effective use of extremity tourniquets has increased the survival of combat casualties, and exsanguination from isolated limb injuries is no longer the most common cause of death. Today, the most common cause of potentially preventable death is haemorrhage from the junctional zones, i.e. the most proximal part of the extremities, not amenable to standard tourniquets.

Different training techniques to control catastrophic haemorrhage have been used by the Swedish Armed Forces in the pre-deployment training of physicians, nurses and medics for many years. The training techniques include different types of human patient simulators such as moulage patients and manikins. Preferred training conditions for the control of catastrophic haemorrhage include a high degree of realism, in combination with multiple training attempts.

This report presents a new hybrid training model for catastrophic external junctional haemorrhage control. It offers a readily reproducible, simple and inexpensive opportunity to train personnel to deal with life threatening catastrophic junctional haemorrhage. In particular, this model offers an opportunity for non-medical military personnel in Sweden to practice control of realistic catastrophic haemorrhage, with multiple training attempts.

Place, publisher, year, edition, pages
2016. Vol. 1, no 5, 2016 1:5 DOI: 10.1186/s41077-016-0008-z
Keyword [en]
Extremity injuries, Haemorrhage control, Haemostatic agents, Junctional haemorrhage, Military Prehospital training
National Category
Medical and Health Sciences
Research subject
Människan i vården
Identifiers
URN: urn:nbn:se:hb:diva-8918OAI: oai:DiVA.org:hb-8918DiVA: diva2:904766
Available from: 2016-02-19 Created: 2016-02-19 Last updated: 2017-05-04Bibliographically approved

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CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf