Extremity Tourniquet Training at High Seas

Background Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess pa...

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Veröffentlicht in:World journal of surgery 2021-08, Vol.45 (8), p.2408-2414
Hauptverfasser: Yánez Benítez, Carlos, Ribeiro, Marcelo A. F., Khan, Mansoor, Lorente-Aznar, Teófilo, Asensio, Esther, López, José Antonio, Martínez, Isabel, Blas, Juan L., Güemes, Antonio
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container_end_page 2414
container_issue 8
container_start_page 2408
container_title World journal of surgery
container_volume 45
creator Yánez Benítez, Carlos
Ribeiro, Marcelo A. F.
Khan, Mansoor
Lorente-Aznar, Teófilo
Asensio, Esther
López, José Antonio
Martínez, Isabel
Blas, Juan L.
Güemes, Antonio
description Background Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas. Methods A descriptive observational study was conducted as part of a workshop issued to volunteer training officers. A post-workshop survey collected their perceptions about the workshops' content usefulness and adequacy, tourniquet safety, self-application simplicity, and device preference. Tourniquet preference was measured by frequency count while the rest of the studied variables on a one-to-ten Likert scale. Frequencies and percentages were calculated for the studied variables, and application simplicity means compared using the ANOVA test ( p  
doi_str_mv 10.1007/s00268-021-06149-6
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F. ; Khan, Mansoor ; Lorente-Aznar, Teófilo ; Asensio, Esther ; López, José Antonio ; Martínez, Isabel ; Blas, Juan L. ; Güemes, Antonio</creator><creatorcontrib>Yánez Benítez, Carlos ; Ribeiro, Marcelo A. F. ; Khan, Mansoor ; Lorente-Aznar, Teófilo ; Asensio, Esther ; López, José Antonio ; Martínez, Isabel ; Blas, Juan L. ; Güemes, Antonio</creatorcontrib><description>Background Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas. Methods A descriptive observational study was conducted as part of a workshop issued to volunteer training officers. A post-workshop survey collected their perceptions about the workshops' content usefulness and adequacy, tourniquet safety, self-application simplicity, and device preference. Tourniquet preference was measured by frequency count while the rest of the studied variables on a one-to-ten Likert scale. Frequencies and percentages were calculated for the studied variables, and application simplicity means compared using the ANOVA test ( p  &lt; 0.05). Results Fifty-one Spanish training naval officers, aged 20 or 21, perceived high sea workshop content’s usefulness, adequacy, and safety level at 8.6/10, 8.7/10, and 7.5/10, respectively. As for application simplicity, CAT and SAM-XT were rated equally with a mean of 8.5, followed by SWAT (7.9) and RATS (6.9), this one statistically different from the rest ( p  &lt; 0.01). Windlass types were preferred by 94%. Conclusions The training sail ship’s extremity bleeding control workshop was perceived as useful and its content adequate by the participating midshipmen. Windlass types were regarded as easier to apply than elastic counterparts. They were also preferred by nine out of every ten participants.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-021-06149-6</identifier><identifier>PMID: 33939010</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Adequacy ; Bleeding ; Cardiac Surgery ; Emergency medical services ; Emergency response ; General Surgery ; Medicine ; Medicine &amp; Public Health ; Original Scientific Report ; Perceptions ; Safety ; Ships ; Surgery ; Thoracic Surgery ; Tourniquets ; Training ; Variance analysis ; Vascular Surgery ; Workshops</subject><ispartof>World journal of surgery, 2021-08, Vol.45 (8), p.2408-2414</ispartof><rights>Société Internationale de Chirurgie 2021</rights><rights>2021 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>Société Internationale de Chirurgie 2021.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4708-dc6761851fd29bf4758daf06543310ce31b2a853e0cf99c4e2d8d70879638d573</citedby><cites>FETCH-LOGICAL-c4708-dc6761851fd29bf4758daf06543310ce31b2a853e0cf99c4e2d8d70879638d573</cites><orcidid>0000-0001-9826-4722 ; 0000-0002-4437-2581 ; 0000-0001-7004-4664 ; 0000-0003-4998-5915</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-021-06149-6$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-021-06149-6$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,41464,42533,45550,45551,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33939010$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yánez Benítez, Carlos</creatorcontrib><creatorcontrib>Ribeiro, Marcelo A. F.</creatorcontrib><creatorcontrib>Khan, Mansoor</creatorcontrib><creatorcontrib>Lorente-Aznar, Teófilo</creatorcontrib><creatorcontrib>Asensio, Esther</creatorcontrib><creatorcontrib>López, José Antonio</creatorcontrib><creatorcontrib>Martínez, Isabel</creatorcontrib><creatorcontrib>Blas, Juan L.</creatorcontrib><creatorcontrib>Güemes, Antonio</creatorcontrib><title>Extremity Tourniquet Training at High Seas</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Background Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas. Methods A descriptive observational study was conducted as part of a workshop issued to volunteer training officers. A post-workshop survey collected their perceptions about the workshops' content usefulness and adequacy, tourniquet safety, self-application simplicity, and device preference. Tourniquet preference was measured by frequency count while the rest of the studied variables on a one-to-ten Likert scale. Frequencies and percentages were calculated for the studied variables, and application simplicity means compared using the ANOVA test ( p  &lt; 0.05). Results Fifty-one Spanish training naval officers, aged 20 or 21, perceived high sea workshop content’s usefulness, adequacy, and safety level at 8.6/10, 8.7/10, and 7.5/10, respectively. As for application simplicity, CAT and SAM-XT were rated equally with a mean of 8.5, followed by SWAT (7.9) and RATS (6.9), this one statistically different from the rest ( p  &lt; 0.01). Windlass types were preferred by 94%. Conclusions The training sail ship’s extremity bleeding control workshop was perceived as useful and its content adequate by the participating midshipmen. Windlass types were regarded as easier to apply than elastic counterparts. They were also preferred by nine out of every ten participants.</description><subject>Abdominal Surgery</subject><subject>Adequacy</subject><subject>Bleeding</subject><subject>Cardiac Surgery</subject><subject>Emergency medical services</subject><subject>Emergency response</subject><subject>General Surgery</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Scientific Report</subject><subject>Perceptions</subject><subject>Safety</subject><subject>Ships</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Tourniquets</subject><subject>Training</subject><subject>Variance analysis</subject><subject>Vascular Surgery</subject><subject>Workshops</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>BENPR</sourceid><recordid>eNqNkM9LwzAYhoMobk7_AQ9S8CJC9Uu-NE296dicInjYxGPo2nR29MdMWnT_vZmdCh7EU3J4npf3ewk5pnBBAcJLC8CE9IFRHwTlkS92SJ9yZD5DhrukDyi4-1PskQNrlwA0FCD2SQ8xwggo9Mn56L0xusybtTerW1Plr61uvJmJ8yqvFl7ceJN88eJNdWwPyV4WF1Yfbd8BeRqPZsOJ__B4eze8fvATHoL000SEgsqAZimL5hkPA5nGGYiAI1JINNI5i2WAGpIsihKuWSpTJ4aRQJkGIQ7IWZe7MrVrYxtV5jbRRRFXum6tYgFzxyJH4dDTX-hyc4Rr5ygeMBnJMHAU66jE1NYanamVycvYrBUFtVlSdUsqt6T6XFJtok-20e281Om38jWdA6464C0v9Pofker5fnozBkpROhk72TqvWmjzU_yPTh_Ktowe</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Yánez Benítez, Carlos</creator><creator>Ribeiro, Marcelo A. 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F.</au><au>Khan, Mansoor</au><au>Lorente-Aznar, Teófilo</au><au>Asensio, Esther</au><au>López, José Antonio</au><au>Martínez, Isabel</au><au>Blas, Juan L.</au><au>Güemes, Antonio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extremity Tourniquet Training at High Seas</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2021-08</date><risdate>2021</risdate><volume>45</volume><issue>8</issue><spage>2408</spage><epage>2414</epage><pages>2408-2414</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Background Future navy officers require unique training for emergency medical response in the isolated maritime environment. The authors issued a workshop on extremity bleeding control, using four different commercial extremity tourniquets onboard a training sail ship. The purposes were to assess participants' perceptions of this educational experience and evaluate self-application simplicity while navigating on high seas. Methods A descriptive observational study was conducted as part of a workshop issued to volunteer training officers. A post-workshop survey collected their perceptions about the workshops' content usefulness and adequacy, tourniquet safety, self-application simplicity, and device preference. Tourniquet preference was measured by frequency count while the rest of the studied variables on a one-to-ten Likert scale. Frequencies and percentages were calculated for the studied variables, and application simplicity means compared using the ANOVA test ( p  &lt; 0.05). Results Fifty-one Spanish training naval officers, aged 20 or 21, perceived high sea workshop content’s usefulness, adequacy, and safety level at 8.6/10, 8.7/10, and 7.5/10, respectively. As for application simplicity, CAT and SAM-XT were rated equally with a mean of 8.5, followed by SWAT (7.9) and RATS (6.9), this one statistically different from the rest ( p  &lt; 0.01). Windlass types were preferred by 94%. Conclusions The training sail ship’s extremity bleeding control workshop was perceived as useful and its content adequate by the participating midshipmen. Windlass types were regarded as easier to apply than elastic counterparts. They were also preferred by nine out of every ten participants.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33939010</pmid><doi>10.1007/s00268-021-06149-6</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-9826-4722</orcidid><orcidid>https://orcid.org/0000-0002-4437-2581</orcidid><orcidid>https://orcid.org/0000-0001-7004-4664</orcidid><orcidid>https://orcid.org/0000-0003-4998-5915</orcidid><oa>free_for_read</oa></addata></record>
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source Wiley Online Library Journals Frontfile Complete; SpringerLink Journals
subjects Abdominal Surgery
Adequacy
Bleeding
Cardiac Surgery
Emergency medical services
Emergency response
General Surgery
Medicine
Medicine & Public Health
Original Scientific Report
Perceptions
Safety
Ships
Surgery
Thoracic Surgery
Tourniquets
Training
Variance analysis
Vascular Surgery
Workshops
title Extremity Tourniquet Training at High Seas
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