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Pediatric Tourniquet Use: Safe and effective.

Erin V Feeney1, Mariah R Harris2, Leah M Furman1

  • 1University of Pittsburgh Medical Center, USA.

Journal of Pediatric Surgery
|August 1, 2025
PubMed
Summary

Tourniquet use in children with limb injuries is safe and feasible, with no adverse events reported in this study. Further research is needed to develop pediatric-specific guidelines for effective tourniquet application.

Keywords:
Pediatric traumaTourniquetTraumatic limb injury

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Area of Science:

  • Pediatric Trauma Surgery
  • Emergency Medicine
  • Medical Device Safety

Background:

  • Tourniquet (TQ) use in pediatric trauma is guided by adult data, lacking specific pediatric evidence.
  • This study evaluates the safety and feasibility of TQ application in children.

Purpose of the Study:

  • To assess tourniquet use and safety in a pediatric cohort.
  • To identify factors influencing proper TQ application in children.
  • To evaluate adverse events associated with TQ use in pediatric patients.

Main Methods:

  • Retrospective analysis of a pediatric level 1 trauma center database (2015-2022).
  • Inclusion criteria: patients aged 0-17 years with traumatic limb injury and TQ application.
  • Data collected: demographics, injury characteristics, TQ variables, and adverse events.

Main Results:

  • 37 children (median age 14 years) received 51 TQs; 72% were male.
  • 70% of injuries were penetrating; 19% of patients were in shock on arrival.
  • No adverse complications related to TQ application were observed; 81% of TQs were properly applied.

Conclusions:

  • Tourniquet application is feasible and safe in injured children.
  • Larger studies are required to establish pediatric-specific evidence-based guidelines.
  • Enhanced clinician training may improve the rate of proper tourniquet application.