Systematic review: Do commercial tourniquets have potential to be a life-saving intervention for ambulance services?

Wongtongkam, Nualnong (2021) Systematic review: Do commercial tourniquets have potential to be a life-saving intervention for ambulance services? Hong Kong Journal of Emergency Medicine, 28 (3). pp. 174-184.

PDF (Accepted Publisher Version) - Accepted Version
Available under License Creative Commons Attribution Non-commercial No Derivatives.

Download (145kB) | Preview
View at Publisher Website:


Background: Globally, terrorist attacks have major impact because of high rates of mortality and severe injury. Compression with direct pressure may be time-consuming in limb exsanguination and accelerate onset of haemorrhagic shock. Tourniquet applications have undergone scrutiny over a long period, but recently tourniquets have been developed and modified for effective and efficient use in prehospital settings to mitigate adverse effects.

Objectives: This systematic review aimed at examining commercial tourniquets that demonstrated efficacy for use in prehospital services.

Methods: Six search engines (ScienceDirect, Ovid, PubMed, SAGE, SpringerLink, Taylor & Francis) were used and articles of which 14 were selected for data analysis.

Results: The findings were not sufficiently conclusive to pinpoint whether one tourniquet application was superior overall; however, Combat Application Tourniquet appeared to be better than other commercial tourniquets in terms of occlusion of distal blood flow, easy and quick self-application and fewer complications. Conclusion: In prehospital settings, ambulance personnel should not hesitate to apply tourniquets when encountering critical circumstances in which they must choose between saving life and potential complications.

Item ID: 62297
Item Type: Article (Research - C1)
ISSN: 2309-5407
Keywords: ambulance, prehospital settings, systematic review, tourniquet
Copyright Information: Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (
Date Deposited: 24 Feb 2020 00:54
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3201 Cardiovascular medicine and haematology > 320199 Cardiovascular medicine and haematology not elsewhere classified @ 50%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320219 Paramedicine @ 50%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920103 Cardiovascular System and Diseases @ 60%
92 HEALTH > 9202 Health and Support Services > 920299 Health and Support Services not elsewhere classified @ 40%
Downloads: Total: 940
Last 12 Months: 57
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page