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Background <p>Traumatic hemorrhage is one of the most common causes of death in trauma patients. Targeted prehospital treatment can reduce morbidity and mortality, thereby preventing numerous deaths. Tourniquets are used for external bleeding of the extremities that cannot be treated by compression, and there are corresponding recommendations for their use. Little is currently known about the level of training of potential tourniquet users and the frequency of use; furthermore, uniform guidelines for training are currently not available.</p> Objective <p>Assessment of the level of training and frequency of use of tourniquets against the background of currently existing recommendations and guidelines.</p> Methods <p>In order to gain overview of the level of training and use of tourniquets, we conducted a&#xa0;local online survey in the ground-based emergency medical services area of Halle/Northern Saale District in Saxony–Anhalt, as well as for the helicopter emergency medical services of the Halle/Leipzig metropolitan region.</p> Results <p>Of 178 questionnaires, 132 (74%) were completed and available for evaluation: 51% of the questions were answered by physicians and 49% by emergency medical services personnel, 93% of whom had received some form of training in the use of tourniquets. Furthermore, 59% of respondents already had practical experience in applying tourniquets to patients. In all, 96% of emergency vehicles have at least one tourniquet, with the majority having two or more. The indications and application sites mentioned in the recommendations and guidelines are mostly known and considered.</p> Conclusion <p>Tourniquets are available on most emergency vehicles. The majority of colleagues working in civilian emergency medical services (EMS) have completed theoretical or practical training in the use of tourniquets, although a&#xa0;significant proportion of this training was undertaken on their own initiative. The indications and application sites mentioned in the recommendations and guidelines are considered, but there is disagreement among respondents about the time required for application and the maximum duration of use.</p>

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Umfrage zu Ausbildungsstand und Erfahrung in der prähospitalen Anwendung von Tourniquets

  • 期刊论文

  • 发表日期：

    2026年1月14日

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  • M. Lautenschläger,
  • A. Großstück,
  • F. Streibert,
  • H. Wrigge,
  • K. zur Nieden,
  • B. Stichert,
  • P. Hilbert-Carius

摘要

Background

Traumatic hemorrhage is one of the most common causes of death in trauma patients. Targeted prehospital treatment can reduce morbidity and mortality, thereby preventing numerous deaths. Tourniquets are used for external bleeding of the extremities that cannot be treated by compression, and there are corresponding recommendations for their use. Little is currently known about the level of training of potential tourniquet users and the frequency of use; furthermore, uniform guidelines for training are currently not available.

Objective

Assessment of the level of training and frequency of use of tourniquets against the background of currently existing recommendations and guidelines.

Methods

In order to gain overview of the level of training and use of tourniquets, we conducted a local online survey in the ground-based emergency medical services area of Halle/Northern Saale District in Saxony–Anhalt, as well as for the helicopter emergency medical services of the Halle/Leipzig metropolitan region.

Results

Of 178 questionnaires, 132 (74%) were completed and available for evaluation: 51% of the questions were answered by physicians and 49% by emergency medical services personnel, 93% of whom had received some form of training in the use of tourniquets. Furthermore, 59% of respondents already had practical experience in applying tourniquets to patients. In all, 96% of emergency vehicles have at least one tourniquet, with the majority having two or more. The indications and application sites mentioned in the recommendations and guidelines are mostly known and considered.

Conclusion

Tourniquets are available on most emergency vehicles. The majority of colleagues working in civilian emergency medical services (EMS) have completed theoretical or practical training in the use of tourniquets, although a significant proportion of this training was undertaken on their own initiative. The indications and application sites mentioned in the recommendations and guidelines are considered, but there is disagreement among respondents about the time required for application and the maximum duration of use.