Ver el código de «Tourniquet (junctional)»

==Background==
[[File:Sobo 1909 573-574.png|thumb|Anterior thigh anatomy (right) showing vein medial to artery and nerve.]]
*Junctional tourniquets are devices that allow for proximal compression of arterial bleeding and thus control of junctional hemorrhage
*Junctional tourniquets (JTQ) were initially cleared by FDA in 2010 for use in pre-hospital medicine
*Developed because of limitations of traditional extremity tourniquets in controlling hemorrhage between the trunk and limbs. These difficult to access locations were responsible for 20% of preventable deaths by bleeding on the battlefield.
*Testing has shown JTQ to be 75-100% effect in controlling hemorrhage

==Properties of a good junctional tourniquet==
[[File:PMC5022193 13049 2016 301 Fig2 HTML.png|thumb|iTClamp™.]]
[[File:PMC5022193 13049 2016 301 Fig5 HTML.png|thumb|SAM-JT™.]]
[[File:PMC5022193 13049 2016 301 Fig4 HTML.png|thumb|JETT™.]]
[[File:PMC5022193 13049 2016 301 Fig3 HTML.png|thumb|AAJT™.]]
*Stop bleeding effectively from junction areas such as groin, pelvis, shoulder, or neck
*Compress bleeding from sites where regular TQ cannot be applied
*Safe to use
*Effective for prehospital use
*Small with low profile
*Lightweight
*Low-cost
*Easy to use requiring minimal training
*Applied quickly
*Does not slip on tightening when in use
*Provides easy release of compression
*Easy to reapply
*Long shelf life

==Indications==
*Junctional hemorrhage not controlled by other means

==Contraindications==
*None

==Application of Junctional Tourniquet==
*Application varies by tourniquet design (multiple different types of junctional tourniquet exist)
*Clearly mark tourniquet with time of application

==Proper removal in hospital setting==
*Loosen the tourniquet while observing wound for bleeding
*If wound now hemostatic, leave pressure off
*If wound continues to bleed, re-apply pressure and prepare for urgent definitive management of bleeding

==See Also==
*[[Resuscitative endovascular balloon occlusion of the aorta]]
*[[Tourniquet]]

==External Links==

===Videos===
{{#widget:YouTube|id=1iP0IbO9Gog}}

==References==
<references/>

[[Category:Military]]
[[Category:EMS]]
[[Category:Procedures]]
[[Category:Trauma]]