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Mon Dec 18 15:52:34 GMT 2006

you wrote:
"also the IDF(Lakstein and blumenfeld et al.) has don a study off all TQ put 
on i 4 year, they fund a low  rate off side effect from the TQ."
That's right, but the study was done in 2003. In summer of 2006, during the 
fighting in lebanon, soldiers were left for hours with tourniqeuts, some of 
them were unjustified. Some lost limbs. Blumenfeld himself wrote that during 
the fighting.

>From: Frank Østergaard Hansen <foh at hco.kollegienet.dk>
>Reply-To: "Trauma &amp; Critical Care mailing list" 
><trauma-list at trauma.org>
>To: trauma-list at trauma.org
>Subject: Re: The case against tourniquets
>Date: Sun, 17 Dec 2006 22:28:04 +0100
>
>Mathias and other
>
>the military still do not say to use the  TQ as you say - it is to be used 
>when under fire. it is a NEW to use. the data in the TCCC(see PHTLS Book) 
>on TQ is from the work don by dr Bellamy et al. on how people died in 
>combat. from the database off KIA and WIA(n=8000 i think) from Vietnam war, 
>he fund that 9% off the KIA was from bleeding arms and legs. some off then 
>can be save by a TQ.
>also the IDF(Lakstein and blumenfeld et al.) has don a study off all TQ put 
>on i 4 year, they fund a low  rate off side effect from the TQ. put toghter 
>Butler et al, says TQ can be use safely in the care under fire phase off 
>the TCCC.
>
>the PHTLS take it the a step more, and says in the right protocol it can 
>safe life. taken to the acont  the thing we know off it  safe use - what 
>evidents do we have for  it, to bee unsafe in the right protocol? , let say 
>"last resort"? what evidents is there out there?
>We use them in the OR for 100 min, and dont think more off it, it is less 
>that most are on getting, from the scene to ER or OR so i think we can use 
>them as last resort prehospital when direct pressure and dressing fails. it 
>is also what the PHTLS say now in the new ed. so realy nothing new there! 
>the only things is that they say it now! is it a big deal? yes i think so. 
>befor Butler et al. made the TCCC paper non talk off TQ in a way taht 
>safely can be use for short time, when under fire.
>
>NON is talk off using TQ as frist resort! but the fact is more wounded 
>soilderes are send to the doctors - before 90% was dead before they get to 
>doctors at the DCS station.
>
>you hear non say that is the TQ who save life or enny other single thing, 
>and you know when you say that we(not that I finde the TQ a go fist 
>resort!!!) have get the evidents to support it, it will never happen, so it 
>is a no-cost statement.
>
>but what we can say, is that US army is doing something right, the 
>mortality  rate in Iraq, is as low as in big city's in the US. around 15%, 
>in all the wars, the last 200 years USA has deployed to, it has never bee 
>under 20%.
>
>Frank Hansen
>DK
>
>
>
>
>
>
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>trauma-list : TRAUMA.ORG
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The case against tourniquets