University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Emergency Medicine


Dr. Bernard Toney



Purpose: The purpose of this article is to review the efficacy of treatment modalities for non-compressible torso hemorrhage (NCTH) in the pre-hospital setting.

Method: A PubMed literature search was conducted with search terms non-compressible torso hemorrhage, pre-hospital, treatment. Thirteen pertinent articles were retrieved and served as the basis for this clinical review.

Results: Many interventions and both quantitative and qualitative variables have been extensively reviewed. There is a lack of standardized evidence based research to adequately compare efficacy of interventions modalities.

Conclusion: Many interventions have been utilized in the pre-hospital setting in an attempt to stabilize NCTH. Of these many interventions there remain a lack of standardized approach to this injury pattern. Treatment intervention success is multifaceted and largely depends on the wound type and individual skill level of the provider. Future studies are warranted to provide data about both their safety and efficacy and to derive at a establish standard of care for NCTH in the pre-hospital setting.


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