University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository


Wilderness Medicine


Sarah Bolander


Non-junctional tourniquets have become readily available to the public with many being used in both urban and austere environments by civilians. As tourniquet use increases, it is important to identify if training is needed for proper usage and therefore, if a standardized curriculum should be implemented in first aid courses. Research shows that most civilians do not correctly apply a tourniquet either intuitively or when supplied with written directions. Mistakes are made either in the proper anatomical positioning or with application of enough pressure. Civilians who take at least 1-hour of the American College of Surgeons’ Bleeding Control Basic Course (B-Con) show correct usage of a combat action tourniquet. However, learning the combat action tourniquet does not translate to proper application of other types of tourniquets. A standardized curriculum should be included in first aid courses and could build upon the principles already taught in the B-Con course. A combination of didactic and hands-on-training should cover indications for tourniquet usage, several types of non-junctional tourniquets as well as allow time for practical, hands-on scenarios.


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