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Junctional Tourniquets for Controlling Hemorrhage from Wounds in Adults: A Review of Clinical Effectiveness, Cost-Effectiveness, Safety, and Guidelines [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2014 Apr 10.

Cover of Junctional Tourniquets for Controlling Hemorrhage from Wounds in Adults: A Review of Clinical Effectiveness, Cost-Effectiveness, Safety, and Guidelines

Junctional Tourniquets for Controlling Hemorrhage from Wounds in Adults: A Review of Clinical Effectiveness, Cost-Effectiveness, Safety, and Guidelines [Internet].

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CONCLUSIONS AND IMPLICATIONS FOR DECISION OR POLICY-MAKING

Despite successful field use, the effectiveness, benefits and safety of junctional tourniquets, potentially lifesaving devices, are supported by clinical evidence of low quality, if any. The AAJT is the only device for which planned clinical studies were conducted, and the only tourniquet indicated for both truncal and junctional use. A phase 4 randomized controlled trial using the AAJT has recently been initiated and is scheduled to be completed in August 2016.14 Current clinical guidelines fail to inform decisions regarding which device to favour and recommend that military medical personnel increase data collection and conduct more thorough research. The need for richer, comparative data is also mentioned and warrants further well designed trials.

Copyright © 2014 Canadian Agency for Drugs and Technologies in Health.

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Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK269195
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