EMS World

MAR 2018

EMS World Magazine is the most authoritative source in the world for clinical and educational material designed to improve the delivery of prehospital emergency medical care.

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SPONSORED CONTENT A bleeding junctional/pelvic fracture is a serious life-threatening challenge for EMTs. How can you effectively cut off the blood flow to the affected area quickly and safely, especially if the bleed is internal? Compression Works' Abdominal Aortic and Junctional Tourniquet (AAJT) has been developed to address this challenge. The FDA-cleared AAJT is an externally applied beltlike tourniquet that can restrict blood flow to the pelvis and upper/lower extremi- ties, depending on where it's positioned. Larry B. Mellick, MD, has real-life experi- ence working with the AAJT. He is vice chair for academic affairs in the Department of Emergency Medicine, interim section chief for pediatric emergency medicine, and pro- fessor of emergency medicine at the Univer - sity of South Alabama. "My former chair, Richard Schwartz, was one of the inventors and developers of this product," says Mellick. "I immediately was struck with the potential of this product. Subsequently, the faddish interest in REBOA (resuscitative endovascular balloon occlu- sion of the aorta), a much more complicated technique for accomplishing the same goals, pushed me to become even more of a fan." When it comes to shutting down arterial blood flow in an emergency patient, "the AAJT is so much simpler than insertion of the REBOA catheter," Mellick says. "Not only does it shut down arterial flow, it stops venous flow simultaneously. The REBOA technique cannot make that claim. Even after the aorta is occluded by the REBOA, significant venous bleeding can continue until the vessels are emptied, and for a period of time significant ongoing blood loss will still occur. The AAJT will both externally cross-clamp the aorta and simultaneously provide compression to torso hemorrhage." Mellick recommends having an AAJT in the ambulance. "In my opinion, the prehos- pital arena is where the AAJT will have its greatest application," Mellick adds. Visit www.compressionworks.com Circle 20 on the Product Information Card EMSWORLD.com | MARCH 2018 47 A Simple Way to Stop Bleeding Pelvic Fractures 800.558.6270 buyemp.com STOP THE BLEED ® visit buyemp.com/stb Empower bystanders to help before EMS arrives. For More Information Circle 30 on Reader Service Card

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