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Next-generation tourniquet: Recommendations for future capabilities and design requirements
Sena R Veazey1, Jared F Mike, Darke R Hull
1From the U.S. Army Institute of Surgical Research, U.S. Army Medical Research and Development Command (S.R.V., J.F.M., D.R.H., K.L.R., J.S., J.F.K.), San Antonio, Texas; and Oregon State University College of Engineering (D.R.H.), Corvallis, Oregon.
The Journal of Trauma and Acute Care Surgery
|January 8, 2024
Summary
Next-generation tourniquets require advanced features for military and civilian mass casualty events. Experts identified key capabilities for future intelligent tourniquet development, focusing on extended use and automated monitoring.
Area of Science:
- Medical Devices
- Trauma Care
- Engineering
Background:
- Military and civilian mass casualty events necessitate advanced tourniquet development.
- Current tourniquet design lacks comprehensive requirements for intelligent features.
- Engineering and automation offer potential for enhanced tourniquet capabilities.
Purpose of the Study:
- To identify key features and capabilities for next-generation tourniquets.
- To establish design requirements for intelligent or smart tourniquets.
- To address the need for advanced tourniquet solutions in mass casualty scenarios.
Main Methods:
- Modified Delphi consensus technique with 34 subject matter experts.
- Three iterative survey rounds and virtual working group meetings.
- Tiered consensus system to determine feature importance.
Main Results:
- Consensus reached on essential tourniquet features for future development.
- Agreed-upon features include extended use (>2 hours), universal application/monitoring, data displays, and semi-automated capabilities.
- Automated monitoring with alerts and recommended actions were also identified.
Conclusions:
- Key features for future tourniquet development were successfully identified.
- Consensus findings will guide inventors, researchers, and manufacturers.
- Next-generation tourniquets aim to enhance prehospital medical provider capabilities.

