Abstract Background Uncontrolled hemorrhage is a leading cause of preventable death in trauma. Tourniquets (TQs) are commonly used to control bleeding in the prehospital setting, although their application is associated with risks. Therefore, this study aimed to identify complications arising from TQ use and to examine contributing risk factors. Methods This retrospective observational study reviewed the medical records of adult trauma casualties (&gt;18 years) hospitalized at Chaim Sheba Medical Center (SMC) between 2010 and 2020 who had a TQ applied in the prehospital setting. The primary outcome was the rate and type of complications. Logistic regression analyses identified risk factors using demographic, injury, and clinical data. Results From 2010 to 2020, a total of 84 trauma casualties with documented prehospital TQ application were hospitalized at SMC. Of these, 20 (23.81%) experienced TQ‐related complications, including local infection, compartment syndrome, and thromboembolism. The average TQ application time was 44.2 min, with no significant difference between those with and without complications. However, significant differences were noted in the mechanism of injury (MOI), wound contamination levels, indications for TQ application, and initial blood test results ( p &lt; 0.05). Logistic regression analyses revealed length of stay (LOS) and injuries from falls were significantly associated with the development of complications. Conclusions This study found that a significant trauma in prehospital settings requiring TQ application is associated with a high rate of complications. Early complications, including local infections and compartment syndrome, were more frequent, whereas late complications like thromboembolism and muscle atrophy were less common. The findings suggest that factors such as the MOI and wound contamination may contribute to these complications, yet after applying multivariate regression, LOS and falls were the only variables found to be significantly associated with the development of complications. These findings underscore the need for further research comparing casualties with and without TQ application.

Mor Rittblat

Sami Gendler

Nir Tsur

Irina Radomislensky

Arnona Ziv

Moran Bodas

Academic Emergency Medicine

学术急诊医学 (AEM) 是学术急诊医学协会 (SAEM) 的官方月刊，发布与急诊医学的实践、教育进步和调查相关的信息。它是急诊医学专业的第二大同行评审科学期刊。AEM 的目标是推进急诊医学的科学、教育和临床实践，为学术急诊医学界发声，以及促进 SAEM 的目标和目标。世界各地的会员和非会员都依赖该杂志获取与急诊医学相关的转化医学，以及临床新闻、案例研究等。每期都包含与研究、教育进步相关的信息, 和急诊医学实践。主题多种多样，包括临床前研究、临床主题、卫生政策和教育方法。SAEM 成员的研究对期刊的科学内容和发展做出了重大贡献。

Academic Emergency Medicine (AEM) is the official monthly journal of the Society for Academic Emergency Medicine (SAEM), dedicated to publishing information related to the practice, educational advancements, and research in emergency medicine. As the second-largest peer-reviewed scientific journal in the field of emergency medicine, AEM aims to advance the science, education, and clinical practice of emergency medicine, provide a voice for the academic emergency medicine community, and promote the goals of SAEM. Members and non-members from around the world rely on this journal for translational medicine related to emergency medicine, as well as clinical news and case studies. Each issue includes information related to research and educational advancements, covering a diverse range of topics such as preclinical research, clinical topics, health policy, and educational methods. Research from SAEM members has made significant contributions to the scientific content and development of the journal.

《学术急诊医学》(Academic Emergency Medicine, AEM) 是学术急诊医学协会(SAEM)的官方月刊，专注于发布与急诊医学实践、教育进步和研究相关的信息。作为急诊医学领域的第二大同行评审科学期刊，AEM旨在推动急诊医学的科学研究、教育和临床实践，为学术急诊医学界发声，并促进SAEM的目标。来自世界各地的会员和非会员都依赖该杂志获取与急诊医学相关的转化医学、临床新闻和案例研究等信息。每期内容涵盖研究和教育进步的最新动态，以及急诊医学实践的多样主题，包括临床前研究、临床主题、卫生政策和教育方法。SAEM成员的研究对期刊的科学内容和发展做出了重要贡献。

Category	Quartile
医学	3
医学, 急救医学	3

The cost of saving lives: Complications arising from prehospital tourniquet application

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Journal Info

Category	Quartile
EMERGENCY MEDICINE	1