title: Combat ready clamp medic technique.
abstract: BACKGROUND
  Junctional hemorrhage control device use on the battlefield might be lifesaving, but little experience is reported. The purpose of the present case report is to detail prehospital use of the Combat Ready Clamp (called the CRoC by its users, Combat Medical Systems, Fayetteville, NC; Instructions for Use, 2010) in casualty care in order to increase awareness of junctional hemorrhage control.
  
  
  METHODS
  The CRoC was used to control difficult inguinal bleeding on the battlefield for an Afghani man with a hindquarter traumatic amputation.
  
  
  RESULTS
  The device promptly controlled exsanguination from a critical injury when placed during rotary-wing casualty evacuation. The flight medic applied the device in 90 seconds. The device performed well without complications to control bleeding.
  
  
  CONCLUSIONS
  The CRoC, a new junctional hemorrhage control device, was used as indicated on the battlefield with mechanical and physiologic success and without device problems. By controlling difficult inguinal bleeding resulting from battlefield trauma, the device facilitated casualty stabilization and delivery to a surgical facility. The device facilitated the ability of a new flight medic to focus his expertise on a critically injured battlefield casualty with demonstrable success.
authors.forename: Robert V
authors.initials: RV
authors.lastname: Tovmassian
authors.forename: John F
authors.initials: JF
authors.lastname: Kragh
authors.forename: Michael A
authors.initials: MA
authors.lastname: Dubick
authors.forename: Smiley
authors.initials: S
authors.lastname: Billings
authors.forename: Lorne H
authors.initials: LH
authors.lastname: Blackbourne
mesh_terms: D000818:Animals; D004632:Emergency Medical Services; D058734:Exsanguination; D006119:Groin; D006470:Hemorrhage; D006801:Humans; D035002:Lower Extremity; D008887:Military Medicine; D014111:Tourniquets; D014857:Warfare; D014947:Wounds and Injuries