The iTClamp in the management of prehospital haemorrhage

Injury
Edward C T H TanMichael J R Edwards

Abstract

Bleeding remains a leading cause of death in trauma patients. The iTClamp is a temporary wound closure device designed to control external bleeding within seconds of injury. We describe our experience using this device on 10 patients in the prehospital environment. We have implemented the iTClamp for prehospital use through our physician-staffed helicopter emergency medical service (HEMS). Indications were massive bleeding that could not be controlled with an ordinary compressive bandage or a haemostatic bandage. Ten patients were treated with the iTClamp. Seven patients had a severe head injury due to various traumas, one patient had a neck injury from a disk cutter, one patient had an open chest wound and one patient had an open femur fracture. After applying the iTClamp, bleeding was controlled in 90% of these patients (n=9), with complete cessation reported in 60% (n=6), partial cessation with adequate control reported in 30% (n=3); in one patient, the bleeding could not be controlled with the iTClamp alone. It took an average of 10s to apply the iTClamp, and the average usage satisfaction score was 7.7. We conclude that the iTClamp is a safe, fast and useful tool for stopping or controlling external blood loss in our serie...Continue Reading

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Citations

Mar 26, 2020·Prehospital Emergency Care : Official Journal of the National Association of EMS Physicians and the National Association of State EMS Directors·Nathan P CharltonRobby Nieuwlaat
May 6, 2017·Der Anaesthesist·F C F SchmittU Müller
Oct 22, 2020·Circulation·Eunice M SingletaryUNKNOWN First Aid Science Collaborators
Oct 26, 2020·Resuscitation·Eunice M SingletaryUNKNOWN First Aid Science Collaborators
Sep 18, 2021·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Christopher SimpsonAnthony Hudson

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