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Article

Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study

by
Valentín González-Alonso
1,
María del Carmen Usero-Pérez
2,
Raquel Seguido Chacón
3,
Alicia Gómez de la Fuente
3,
Jonathan Cortés-Martín
4,
Raquel Rodríguez-Blanque
4,5,* and
Juan Carlos Sánchez-García
4
1
Departamento Simulación, Escuela Militar de Sanidad (EMISAN), Ministerio de Defensa, 28047 Madrid, Spain
2
Departamento de Enfermería, Escuela Militar de Sanidad (EMISAN), 28047 Madrid, Spain
3
Servicio de Sanidad de la Guardia Real, Ministerio de Defensa, 28048 Madrid, Spain
4
Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, 18071 Granada, Spain
5
Hospital Clinico Universitario San Cecilio, 18016 Granada, Spain
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(3), 2742; https://doi.org/10.3390/ijerph20032742
Submission received: 15 January 2023 / Revised: 28 January 2023 / Accepted: 2 February 2023 / Published: 3 February 2023
(This article belongs to the Special Issue Advancing Research on Emergency Care)
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Abstract

Among the main preventable causes of death in the area of operations is external exsanguinating hemorrhage in the extremities, hence the importance of the tourniquet as a therapeutic tool in this type of injury and, therefore, of the training of personnel participating in international missions. The main objective of this study is to determine the impact of training in the application of this device. This is a quasi-experimental, prospective, cross-sectional study, carried out with 97 healthy volunteers, military personnel who perform their work in the Royal Guard barracks of El Pardo. The study was conducted between June 2019 and July 2021. The correct determination of the device placement site and the times of correct device placement were evaluated by determining whether there was blood flow using Doppler ultrasound measurements. Statistically significant results were obtained for application time (76.68 s to 58.06 s; p < 0.001), correct device placement (p < 0.001), and achievement of complete ischemia in the upper extremity (23.7% pretest vs. 24.7% post-test; p < 0.001). In the lower extremity, after training, longer application duration (43.33 s to 47.30 s) and lower ischemia achievement (59.8% pretest vs. 37.8% post-test) were obtained. Standardized and regulated training improves device application. More intensive training is necessary to obtain better results.
Keywords: training; Stop the Bleed; tourniquet; bleeding control training; Stop the Bleed; tourniquet; bleeding control

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MDPI and ACS Style

González-Alonso, V.; Usero-Pérez, M.d.C.; Seguido Chacón, R.; Gómez de la Fuente, A.; Cortés-Martín, J.; Rodríguez-Blanque, R.; Sánchez-García, J.C. Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study. Int. J. Environ. Res. Public Health 2023, 20, 2742. https://doi.org/10.3390/ijerph20032742

AMA Style

González-Alonso V, Usero-Pérez MdC, Seguido Chacón R, Gómez de la Fuente A, Cortés-Martín J, Rodríguez-Blanque R, Sánchez-García JC. Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study. International Journal of Environmental Research and Public Health. 2023; 20(3):2742. https://doi.org/10.3390/ijerph20032742

Chicago/Turabian Style

González-Alonso, Valentín, María del Carmen Usero-Pérez, Raquel Seguido Chacón, Alicia Gómez de la Fuente, Jonathan Cortés-Martín, Raquel Rodríguez-Blanque, and Juan Carlos Sánchez-García. 2023. "Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study" International Journal of Environmental Research and Public Health 20, no. 3: 2742. https://doi.org/10.3390/ijerph20032742

APA Style

González-Alonso, V., Usero-Pérez, M. d. C., Seguido Chacón, R., Gómez de la Fuente, A., Cortés-Martín, J., Rodríguez-Blanque, R., & Sánchez-García, J. C. (2023). Evaluation of the Impact of a Tourniquet Training Program: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 20(3), 2742. https://doi.org/10.3390/ijerph20032742

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