Testing of Junctional Tourniquets by Medics of the Israeli Defense Force in Control of Simulated Groin Hemorrhage

Use of Haemostatic Devices for the Control of Junctional and Abdominal Traumatic Haemorrhage: A Systematic Review

“…Of the 14 studies included for JTQ review, eight were conducted in 194 healthy human volunteers [16][17][18][19][20][21][22][23] (Table 2), 3 were conducted on 16 perfused human cadavers [24][25][26] (Table 3), and 2 case series [27,28] and 1 case report [29] on 21 trauma patients (Table 4). The total number of cadavers and volunteers was 210.…”

“…Device efficacy was reported in all 11 studies involving cadavers or volunteers and ranged from 11-100% across all four JTQs. The efficacy of the CRoC ranged from 84-100% [18,19,[21][22][23][24][25]; the AAJT ranged from 11-100% [16][17][18][19][20][21]; JETT had an efficacy range from 75-100% [18,19,21,23,25], and the SJT ranged from 82-100% [18,19,[21][22][23]26]. Only one study assessed the efficacy of the SJT, JETT, and CRoC during the transport in volunteers, ranging from 24-48%.…”

“…The SJT was reported to have a significantly higher transport efficacy (48%) than the JETT (24%; p = 0.03) [23]. Application time was recorded in 6 of the JTQ feasibility studies [16,19,[21][22][23]25] and ranged from 10-203 s overall. Each JTQ had an application time of: CRoC 68-128 s [19,[21][22][23]25], JETT 10-203 s [19,21,23,25], SJT 34-80 s [19,[21][22][23], and AAJT 98-171 s [16,19,21].…”

“…Application time was recorded in 6 of the JTQ feasibility studies [16,19,[21][22][23]25] and ranged from 10-203 s overall. Each JTQ had an application time of: CRoC 68-128 s [19,[21][22][23]25], JETT 10-203 s [19,21,23,25], SJT 34-80 s [19,[21][22][23], and AAJT 98-171 s [16,19,21]. Of the studies which assessed the safety of the JTQs (n = 7), none reported any incidences of adverse events [18,21,22].…”

“…Each JTQ had an application time of: CRoC 68-128 s [19,[21][22][23]25], JETT 10-203 s [19,21,23,25], SJT 34-80 s [19,[21][22][23], and AAJT 98-171 s [16,19,21]. Of the studies which assessed the safety of the JTQs (n = 7), none reported any incidences of adverse events [18,21,22]. User surveys reported the SJT to be the most preferred of the JTQs.…”