Summary

Emergency haemorrhage control encompasses a spectrum of interventions from basic manual compression through advanced endovascular occlusion, all aimed at rapidly arresting bleeding and preserving organ perfusion. Fundamental measures include direct pressure and wound packing, while tourniquets have become the standard for life‐threatening extremity haemorrhage. Haemostatic dressings and injectable clotting agents accelerate coagulation at the point of injury. For non‐compressible truncal and pelvic bleeding, endovascular approaches such as resuscitative endovascular balloon occlusion of the aorta (REBOA) offer minimally invasive occlusion. Innovations in portable imaging, telemedicine and unmanned aerial delivery now facilitate timely intervention in prehospital and austere settings. Together, these techniques reflect a multidisciplinary evolution that unites surgical, paramedical and layperson contributions to reduce preventable mortality worldwide.

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Emergency Hemorrhage Control Techniques publication trend

The graph below shows the total number of articles in emergency hemorrhage control techniques across all publications each year (not limited to Nature Index journals).

Technical terms

Haemorrhage: Rapid loss of blood from damaged vessels.

Tourniquet: A constrictive device applied to a limb to occlude arterial flow and control bleeding.

Haemostatic dressing: A wound dressing impregnated with agents that promote coagulation to arrest bleeding.

Resuscitative endovascular balloon occlusion of the aorta (REBOA): A minimally invasive procedure deploying an intravascular balloon to occlude the aorta and reduce distal haemorrhage.

Remote telementoring: Real-time guidance delivered via telecommunications to direct procedural interventions at a distance.

References

  1. Effectiveness and safety of tourniquet utilization for civilian vascular extremity trauma in the pre-hospital settings: a systematic review and meta-analysis. World Journal of Emergency Surgery (2024).
  2. Effectiveness of a Haemorrhage‐Control Task Simulator for Training Nursing Students: A Quasi‐Experimental before‐after Study. Journal of Nursing Management (2024).
  3. Smarter faster just-in-time hemorrhage control: A pilot evaluation of remotely piloted aircraft system delivered STOP-THE-BLEED equipment with just-in-time remote telementored deployment. Heliyon (2023).

About these summaries

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