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   The iTClamp in the treatment of prehospital craniomaxillofacial injury: a case series study  
   
نویسنده mckee jessica l. ,mckee ian a. ,ball chad g. ,tan edward ,moloff alan ,mcbeth paul ,laporta anthony ,bennett brad ,filips dennis ,teicher carrie ,kirkpatrick andrew w.
منبع journal of injury and violence research - 2019 - دوره : 11 - شماره : 1 - صفحه:29 -34
چکیده    Background:craniomaxillofacial (cmf) injuries are very common in both civilian and military settings. nearly half of all civilian trauma incidents include a scalp laceration and historical rates of cmf battle injuries increased from 16%-21% to42.2%. the scalp is highly vascular tissue and uncontrolled bleeding can lead to hypotension, shock and death. therefore, enabling on-scene providers,both military and civilian, to immediately manage scalp and face lacerations, in a manner that allows them to still function in a tactical way, offers operational advantages. this case series examines how effectively a wound-clamp (itclamp) controlled bleeding from cmf injuries pre-hospital environment. methods:the use of the itclamp for cmf (scalp and face laceration) was extracted from itraumacare’s post market surveillance database.data was reviewed and a descriptive analysis was applied.results:216 civilian cases of itclamp use were reported to itraumacare. of the 216 cases, 37% (n=80) were for control of cmf hemorrhage (94% scalp and 6% face). falls (n=24) and mvc (n=25) accounted for 61% of the mechanism of injury. blunt accounted for 66%(n=53), penetrating 16%(n=13) and unknown 18%(n=14). adequate hemorrhage control was reported in 87.5%(n=70) of cases, three respondents reported inadequate hemorrhage control and in seven cases hemorrhage control was not reported. direct pressure and packing was abandoned in favor of the itclamp in 27.5%(n=22) of cases. conclusions: cmf injuries are common in both civilian and military settings. current options like direct manual pressure (dmp) often do not work well, are formidable to maintain on long transports and raney clips are a historical suggestion.the itclamp offers a new option for control of external hemorrhage from open wounds within compressible zones.
کلیدواژه iTClamp ,Prehospital ,Craniomaxillo-facial
آدرس university of calgary, foothills medical center, department of surgery, Canada, city of edmonton, department of fire, Canada, university of calgary, regional trauma services and department of surgery, and critical care medicine, Canada. foothills medical centre, alberta health services, Canada, radboud university medical center, royal netherlands army, Netherlands, pyng medical, Canada. rocky vista university, USA, university of calgary, regional trauma services and the departments of surgery, and critical care medicine, Canada. foothills medical centre, alberta health services, Canada, rocky vista university, USA, edward hebert school of medicine, department of military & emergency medicine, USA, innovative trauma care, Canada, medecins sans frontiers/ doctors without borders, USA, university of calgary, regional trauma services and the departments of surgery, and critical care medicine, Canada. foothills medical centre, alberta health services, Canada. canadian forces health services, Canada
 
     
   
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