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Teaching and Evaluation Methods of the Use of the Tourniquet in Severe Limb Bleeding among Health Care Professionals: A Systematic Review

Published online by Cambridge University Press:  19 October 2021

María Sobrido-Prieto ,
Santiago Martínez-Isasi Open the ORCID record for Santiago Martínez-Isasi [Opens in a new window] ,
Marta Pérez-López ,
Felipe Fernández-Méndez Open the ORCID record for Felipe Fernández-Méndez [Opens in a new window] ,
Roberto Barcala-Furelos  and
Daniel Fernández-García
María Sobrido-Prieto
Affiliation:
Departamento de Ciencias da Saúde, Universidade de A Coruña (UDC), A Coruña, Galicia, Spain
Santiago Martínez-Isasi*
Affiliation:
CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Galicia, Spain Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Spain Faculty of Nursing, Universidade de Santiago de Compostela, Spain
Marta Pérez-López
Affiliation:
Servicio de Urgencias, Instituto de Investigación Biomédica de A Coruña (INIBIC), Complexo Hospitalario Universitario de A Coruña (CHUAC), Sergas; Universidade da Coruña (UDC), A Coruña, Galicia, Spain
Felipe Fernández-Méndez
Affiliation:
CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Galicia, Spain Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Spain School of Nursing, Universidade de Vigo, Pontevedra, Spain REMOSS Research Group, Universidade de Vigo, Pontevedra, Galicia, Spain
Roberto Barcala-Furelos
Affiliation:
CLINURSID Research Group, Psychiatry, Radiology, Public Health, Nursing and Medicine Department, Universidade de Santiago de Compostela, Galicia, Spain Simulation and Intensive Care Unit of Santiago (SICRUS) Research Group, Health Research Institute of Santiago, University Hospital of Santiago de Compostela-CHUS, Spain REMOSS Research Group, Universidade de Vigo, Pontevedra, Galicia, Spain Faculty of Education and Sport Sciences, Universidade de Vigo, Pontevedra, Spain
Daniel Fernández-García
Affiliation:
Servicio de Radiología Vascular e Intervencionista, Hospital Universitario de León, Leon, Castilla y León, Spain
*
Correspondence: Santiago Martínez-Isasi Facultad de Enfermería Campus Norte, Avenida de Xoán XXIII, s/n 15782 Santiago de Compostela, Galicia, Spain E-mail: smtzisasi@gmail.com
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Abstract

Introduction and Objectives:

Massive hemorrhage (MH) is a growing pathology in military settings and increasingly in civilian settings; it is now considered a public health problem in the United States with large-scale programs. Tourniquets are the fastest and most effective intervention in MH if direct pressure is not effective.

The Liaison Committee on Resuscitation (ILCOR) recognizes a knowledge gap in optimal education techniques for first aid providers. This review aims to describe training and evaluation methods for teaching tourniquet use to both health care and military professionals.

Methods:

The MEDLINE, CINAHL, WEB of Science, and Scopus databases were reviewed (from 2010 through April 2020). The quality of the selected studies was assessed using the Consolidated Standards of Reporting Trials (CONSORT) scale. Studies that met at least 65% of the included items were included. Data were extracted independently by two reviewers.

Results:

Ten of the 172 articles found were selected, of which three were randomized clinical trials. Heterogeneity was observed in the design of the studies and in the training and evaluative methods that limit the comparison between studies.

Conclusions:

The results suggest that the training strategies studied are effective in improving knowledge, attitudes, and practical skills. There is no universal method, learning is meaningful but research should be directed to find out which ones work best.

Keywords

bleeding/prevention and controlextremity injurylearningmedical educationtourniquet
Type
Systematic Review
Information
Prehospital and Disaster Medicine , Volume 36 , Issue 6 , December 2021 , pp. 747 - 755
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Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

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