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CompletedNCT00517166Updated Dec 20, 2011

Survey of Tourniquet Use in a Combat Support Hospital

An observational study in Vascular Injury, sponsored by United States Army Institute of Surgical Research. Completed at 1 site in Iraq. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2011-12-20.

Sponsored by United States Army Institute of Surgical Research · Observational

Study type
Observational
Model
Case-only
Time perspective
Retrospective
Enrollment
584
Ages
18 Years to 65 Years
Sex
All
01

Study summary

Data will be collected on the type of tourniquet and circumstances of its use. Patients with penetrating extremity injury will have clinical and pre-clinical hospital data collected.

Read the detailed description

This is a performance improvement project that is a prospective observational cohort design with subgroup analyses. This project meets the criteria of research with its intent to publish. No data is generated and only existing data are used. No interventions are made and the comparisons will be with within subgroups in the cohort.

Aim 1. Describe the number of tourniquets which were appropriately used (wound required a tourniquet and tourniquet was placed properly) as assessed by treating physician

Aim 2 \&3. Describe if limbs wounds with tourniquets were bleeding upon admission, resuscitation, and following tourniquet removal

Aim 4. Describe if mortality for the cohort of patients with tourniquets is different than the mortality predicted by various injury scoring systems

Aim 5. Compare patient outcomes between those in which a tourniquet was indicated but not used and those for whom a tourniquet was indicated and used

Aim 6. Determine if patients that received tourniquets for an extended time period exhibit any known tourniquet complications

02

Conditions studied

  • Vascular Injury

Keywords

  • tourniquet
  • extremity injury
  • hemostatic device
03

In context

Vascular System Injuries

36 studies on the registry are indexed under Vascular System Injuries; 10 are open to participants now.

This study's enrollment of 584 is above the median of 195 across 10 observational studies indexed under Vascular System Injuries.

Browse Vascular System Injuries studies →

Lead sponsor

United States Army Institute of Surgical Research is the lead sponsor of 24 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Combat soldiers on whom tourniquet was applied.

Inclusion criteria

  • penetrating extremity injury with tourniquet use

Exclusion criteria

Exclusion Criteria:

  • non penetrating extremity injury
05

Study design

Observational model
Case-only
Time perspective
Retrospective
Enrollment
584 participants (actual)

Groups and cohorts

  • A

    Individuals on whom tourniquet was used.

    Device: CAT (Combat Arms Tourniquet)

Interventions

  • DeviceCAT (Combat Arms Tourniquet)

    device

06

Study locations

1 site
  • Combat Support Hospital
    Baghdad, Iraq
07

References and documents

Publications

  • Kragh JF Jr, O'Neill ML, Walters TJ, Jones JA, Baer DG, Gershman LK, Wade CE, Holcomb JB. Minor morbidity with emergency tourniquet use to stop bleeding in severe limb trauma: research, history, and reconciling advocates and abolitionists. Mil Med. 2011 Jul;176(7):817-23. doi: 10.7205/milmed-d-10-00417. PubMed 22128725 ↗
  • Kragh JF Jr, O'Neill ML, Beebe DF, Fox CJ, Beekley AC, Cain JS, Parsons DL, Mabry RL, Blackbourne LH. Survey of the indications for use of emergency tourniquets. J Spec Oper Med. 2011 Winter;11(1):30-34. doi: 10.55460/36SQ-1UQU. PubMed 21455908 ↗
  • Kragh JF Jr, Littrel ML, Jones JA, Walters TJ, Baer DG, Wade CE, Holcomb JB. Battle casualty survival with emergency tourniquet use to stop limb bleeding. J Emerg Med. 2011 Dec;41(6):590-7. doi: 10.1016/j.jemermed.2009.07.022. Epub 2009 Aug 31. PubMed 19717268 ↗
  • Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, Holcomb JB. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009 Jan;249(1):1-7. doi: 10.1097/SLA.0b013e31818842ba. PubMed 19106667 ↗
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 20, 2011, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00517166
Lead sponsor
United States Army Institute of Surgical Research
Responsible party
Sponsor
First posted
Aug 16, 2007
Start date
Aug 2006
Completion
Mar 2008
Last update
Dec 20, 2011

Study contacts

John F Kragh, MD
principal investigator · US Army Institute of Surgical Research

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2011. You cannot join it, but the record below documents what was studied.

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