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Manual Pressure Points Technique for Massive Hemorrhage Control-A Prospective Human Volunteer Study.
Pikman Gavriely, Regina; Lior, Yotam; Gelikas, Shaul; Levy, Shiran; Ahimor, Alon; Glassberg, Elon; Shapira, Shachar; Benov, Avi; Avital, Guy.
Afiliação
  • Pikman Gavriely R; Israel Defense Forces Medical Corps, Ramat Gan, Israel.
  • Lior Y; Division of Anesthesia, Intensive Care, and Pain Management, Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
  • Gelikas S; Division of Anesthesia, Intensive Care, and Pain Management, Tel-Aviv Medical Center, Sackler Faculty of Medicine, Tel Aviv University, Tel-Aviv, Israel.
  • Levy S; Israel Defense Forces Medical Corps, Ramat Gan, Israel.
  • Ahimor A; Israel Defense Forces Medical Corps, Ramat Gan, Israel.
  • Glassberg E; Department of Radiology, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
  • Shapira S; Israel Defense Forces Medical Corps, Ramat Gan, Israel.
  • Benov A; Department of Ophthalmology, Shamir Medical Center, Zrifin, Israel.
  • Avital G; Israel Defense Forces Medical Corps, Ramat Gan, Israel.
Prehosp Emerg Care ; 27(5): 586-591, 2023.
Article em En | MEDLINE | ID: mdl-36074122
BACKGROUND: While commonly thought to be effective for management of limb and junctional hemorrhage, the manual pressure points technique was excluded from leading prehospital guidelines over a decade ago following the publication of a single human-volunteers study presenting unfavorable results. This work aimed to re-assess the efficacy and feasibility of the femoral and supraclavicular pressure points technique for temporary hemorrhage control distal to the pressure point. METHODS: A prospective, non-randomized, human volunteer, controlled environment study. In the study 35 healthy male combat medics (age 21.1 ± 1.3 years) received brief training after which they were requested to apply pressure in the femoral and supraclavicular points in attempts to stop regional blood flow, measured distally by Doppler ultrasound. Success rates in achieving flow cessation in under 2 minutes, time required for achievement of flow cessation, and cumulative flow cessation duration within a 3-minute follow-up after initial success were measured. RESULTS: For the supraclavicular point, success rates were 97.1% with a mean time to success of 12.5 (±20.9) seconds, lasting for 76.2% (±23.7) of the follow-up time. For the femoral point, success rates were 100% with a mean time to success of 5.5 (±4.3) seconds, lasting for 98.7% (±3.8) of the follow-up time. CONCLUSIONS: Manual pressure on the femoral and supraclavicular points is an applicable and efficient method for temporary hemorrhage control distal to the pressure point. As such, with additional study, this method may be considered for re-introduction to prehospital care guidelines and training programs.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência Tipo de estudo: Clinical_trials Limite: Adult / Humans / Male Idioma: En Revista: Prehosp Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Israel

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Serviços Médicos de Emergência Tipo de estudo: Clinical_trials Limite: Adult / Humans / Male Idioma: En Revista: Prehosp Emerg Care Assunto da revista: MEDICINA DE EMERGENCIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Israel