• Emerg Med Australas · Dec 2023

    Randomized Controlled Trial

    Comparison of surf lifesaver pressure point control and a commercial arterial tourniquet for major lower limb haemorrhage: A randomised controlled crossover pilot trial.

    • James Furness, Philip Abery, Kevin Kemp-Smith, Kimberly Bruce, David Lamond, Nicholas Taylor, Philip Jones, and Peter J Snelling.
    • Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia.
    • Emerg Med Australas. 2023 Dec 1; 35 (6): 103810401038-1040.

    ObjectiveThis pilot study compared non-medically trained surf lifesavers' (SLS) ability, after infographic training, to occlude the femoral artery using a pressure point (PP) versus an arterial tourniquet (AT).MethodsUsing a crossover design, eight SLS applied PP and AT to a participant's leg to occlude the femoral artery. Arterial flow, application time and perceived difficulty were recorded.ResultsPP achieved 89.7% and 50.8% blood flow reduction for PP and AT, respectively. Average application time was 50.63 and 113.5 s for PP and AT, respectively. Perceived difficulty using a Likert scale from 0 to 10 (0 being no difficulty and 10 being maximal difficulty) was 2.75 and 3.50 for PP and AT, respectively.ConclusionInfographic-trained SLS showed superior blood flow occlusion using PP. This pilot study will inform a larger trial for untrained beachgoers.© 2023 The Authors. Emergency Medicine Australasia published by John Wiley & Sons Australia, Ltd on behalf of Australasian College for Emergency Medicine.

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