Kragh John F
Department of Damage Control Resuscitation, US Army Institute of Surgical Research (USAISR), Fort Sam Houston, TX 78234-6315, USA.
Foot Ankle Clin. 2010 Mar;15(1):23-40. doi: 10.1016/j.fcl.2009.11.001.
Tourniquets have been called powerful lifesaving devices by some authors, whereas others say they cause more harm than good. Given recent emergency tourniquet developments in scientific design of devices, widespread user training, modern doctrine based on evidence, and thorough fielding to users within an integrated trauma system with rapid evacuation, tourniquets have shown minor morbidity and major lifesaving results. Trauma systems with poorly designed devices, inadequate user training, no tourniquet doctrine, or slow casualty evacuation, however, have repeatedly shown severe morbidity and mortality. Tourniquets may save lives if the right device is used in the right way at the right time for the right patient.
一些作者称止血带是强大的救生设备，而另一些人则表示其弊大于利。鉴于近期在设备科学设计、广泛的用户培训、基于证据的现代理论以及在具备快速后送能力的综合创伤系统中向用户全面推广等方面，止血带在紧急情况下的应用取得了轻微发病率和显著救生效果。然而，那些设备设计不佳、用户培训不足、没有止血带使用理论或伤员后送缓慢的创伤系统，却屡屡出现严重的发病率和死亡率。如果在正确的时间为正确的患者以正确的方式使用正确的设备，止血带可能挽救生命。
