Abstract
Background
Penetrating neck wounds are common in the civilian and military realms. Whether high
or low velocity, they carry a substantial morbidity and mortality rate.
Objectives
We endeavored to ascertain whether the iTClamp is equivalent to direct manual pressure
(DMP) and Foley catheter balloon tamponade (BCT).
Methods
Using a perfused cadaver, a 4.5-cm wound was made in Zone 2 of the neck with a 1-cm
carotid arteriotomy. Each of the hemorrhage control modalities was randomized and
then applied to the wound separately. Time to apply the device and fluid loss with
and without neck motion was recorded.
Results
There was no significant difference between the fluid loss/no movement (p > 0.450) and fluid loss/movement (p > 0.215) between BCT and iTClamp. There was significantly more fluid lost with DMP
than iTClamp with no movement (p > 0.000) and movement (p > 0.000). The iTClamp was also significantly faster to apply than the Foley (p > 0.000).
Conclusions
The iTClamp and BCT were associated with significantly less fluid loss than DMP in
a perfused cadaver model. The iTClamp required significantly less time to apply than
the BCT. Both the iTClamp and the BCT were more effective than simple DMP. The iTClamp
offers an additional option for managing hard-to-control bleeding in the neck.
Keywords
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Article info
Publication history
Published online: January 29, 2019
Accepted:
December 8,
2018
Received in revised form:
November 20,
2018
Received:
November 25,
2016
Footnotes
Presented at National Association of EMS Physicians Meeting, January 2015. Poster Presentation. Presented by Major Andrew W. Kirkpatrick.
The opinions expressed are solely the opinions of the authors and do not represent any official positions or policies of any agencies or departments of the Governments of Canada or the United States of America.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.
