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Extremity Tourniquet Training at High Seas.

Carlos Yánez Benítez1, Marcelo A F Ribeiro2, Mansoor Khan3

  • 1General and GI Surgery Department, Royo Villanova Hospital, SALUD. Avenida de San Gregorio S/N, 50015, Zaragoza, Spain. carlosyb1@gmail.com.

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Summary

Future navy officers found extremity bleeding control training useful. Windlass-type tourniquets were easier to apply and preferred over elastic models during a maritime workshop.

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Area of Science:

  • Medical Education
  • Emergency Medicine
  • Naval Training

Background:

  • Maritime environments necessitate specialized emergency medical response training for naval officers.
  • A workshop focused on extremity bleeding control using four commercial tourniquets was conducted aboard a training vessel.
  • The study aimed to evaluate participant perceptions and self-application ease of tourniquets in a high-seas setting.

Purpose of the Study:

  • To assess the perceived usefulness and adequacy of an extremity bleeding control workshop for future navy officers.
  • To evaluate the simplicity of self-applying different commercial extremity tourniquets under maritime conditions.
  • To determine participant preference among the tested tourniquet devices.

Main Methods:

  • A descriptive observational study involving volunteer training naval officers.
  • Post-workshop surveys assessed content usefulness, adequacy, safety, and self-application simplicity using Likert scales.
  • Tourniquet preference was recorded, and application simplicity means were compared using ANOVA (p < 0.05).

Main Results:

  • Participants rated workshop usefulness (8.6/10), adequacy (8.7/10), and safety (7.5/10).
  • CAT and SAM-XT tourniquets showed the highest application simplicity (mean 8.5), outperforming SWAT (7.9) and RATS (6.9).
  • Windlass-type tourniquets were preferred by 94% of participants.

Conclusions:

  • The extremity bleeding control workshop on the training ship was perceived as valuable and adequate by midshipmen.
  • Windlass-type tourniquets were found to be simpler to apply than elastic models.
  • A strong preference for windlass-type tourniquets was observed among participants.