Rethinking limb tourniquet conversion in the prehospital environment

John B Holcomb¹, Warren C Dorlac, Brendon G Drew+14

• ¹From the Division of Trauma and Acute Care Surgery, Department of Surgery (J.B.H.), University of Alabama at Birmingham, Birmingham, AL; Regional Committees on Trauma (W.C.D.), University of Colorado, Trauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, Colorado; Chair Tactical Combat Casualty Care Committee, I Marine Expeditionary Force Surgeon (B.G.D.), Camp Pendleton, California; Joint Trauma System (F.K.B.), Bethesda, Maryland; Joint Trauma System (J.M.G.), Falls Church, Virginia; Department of Surgery (J.M.G.), Brook Army Medical Center, San Antonio Texas; Tactical Combat Casualty Care, Joint Trauma System (H.R.M.), Defense Health Agency, Falls Church, VA; Defense Health Agency (S.A.S.), Colorado Springs, Colorado; EMS, HCESD 48 Fire Department (E.B.), Houston, Texas; Division of Trauma and Acute Care Surgery, Department of Surgery (J.D.K.), University of Alabama at Birmingham, Birmingham, Alabama; Department of Hemorrhage and Vascular Dysfunction (J.F.K.), US Army Institute of Surgical Research, Ft Sam Houston, Texas; Department of Surgery (M.A.P.), University of South Dakota-Sanford School of Medicine, Vermillion, South Dakota; Trauma and Acute Care Surgery, (M.A.P.), Avera McKennan Hospital & University Health Center, Sioux Falls, South Dakota; Department of Emergency Medicine (J.L.P.), Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania; Global Response Medicine (J.L.P.), New York, New York; Medical Training Team (O.Le.), Armed Forces of Ukraine, Ukraine; Combat Medic of Genetics Survival Project NGO (A.M.); 'Dyke Pole' Military Unit, Armed Forces of Ukraine (G.B.), Ukraine; Officer of the Command of the Medical Forces of the Armed Forces of Ukraine (O.D.), Kyiv, Ukraine; and Department of Military Medicine (O.Li.), Security Service of Ukraine, Deputy Minister of Health of Ukraine, Ukraine.