Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage - A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors.
Prehosp Disaster Med
; 35(1): 115-118, 2020 Feb.
Article
in En
| MEDLINE
| ID: mdl-31928564
ABSTRACT
External aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Pregnancy, Ectopic
/
Pressure
/
Wounds, Stab
/
Cardiopulmonary Resuscitation
/
Exsanguination
Limits:
Adult
/
Female
/
Humans
/
Male
/
Pregnancy
Language:
En
Journal:
Prehosp Disaster Med
Journal subject:
MEDICINA DE EMERGENCIA
Year:
2020
Document type:
Article
Affiliation country:
Australia