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Updated: Aug 7, 2025

Integrated Compensatory Responses in a Human Model of Hemorrhage
Published on: November 20, 2016
External Hemorrhage Control Techniques for Human Space Exploration: Lessons from the Battlefield.
Stijn J J Thoolen1, Maybritt I Kuypers2
1Neural Systems Group, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA; Centre for Human and Applied Physiological Sciences, King's College London, United Kingdom.
Military advances in trauma care, like tourniquets and hemostatic gauze, are crucial for space exploration. Early hemorrhage control is vital in microgravity due to limited resources and evacuation challenges.
Area of Science:
- Aerospace Medicine
- Trauma Care
- Emergency Medicine
Background:
- Military medicine has significantly improved prehospital trauma care, emphasizing early hemorrhage control.
- Space exploration presents unique challenges for trauma management, including environmental hazards and physiological adaptations to microgravity.
Purpose of the Study:
- To review external hemorrhage control techniques.
- To assess the applicability of military trauma care concepts in space exploration.
- To identify strategies for managing traumatic bleeding in space missions.
Main Methods:
- Narrative literature review.
- Analysis of military prehospital trauma care advancements.
- Evaluation of space environment factors impacting trauma care.
Main Results:
- Early hemorrhage control is critical in space due to delayed care and physiological changes.
- Tourniquets and hemostatic dressings appear feasible but require adequate training.
- Tranexamic acid and advanced techniques show promise for space trauma management.
Conclusions:
- Military hemorrhage control strategies can be adapted for space exploration.
- Training and appropriate tools are essential for managing bleeding in space.
- Future missions require robust protocols for point-of-injury hemorrhage control.
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