title: Auto-transfusion tourniquets: the next evolution of tourniquets.
abstract: In this article, we discuss the relationship between hemorrhagic shock and the pathophysiology of shock using conventional tourniquets. We will focus on corollary benefits with the use of HemaClear(®), a self-contained, sterile, exsanguinating auto-transfusion tourniquet. This discussion will demonstrate that the use of auto-transfusion tourniquets is a practical evidence-based approach in fluid resuscitation: it shortens the duration of shock after hemorrhage and trauma compared with conventional tourniquets. Emphasis is placed on the use of the HemaClear(®) as an alternative fluid resuscitation tool which is more efficient in the battlefield, pre-hospital and in-hospital settings.
authors.affiliation: International School of Tactical Medicine, Palm Springs, CA, USA; Eisenhower Medical Center, Rancho Mirage, CA, USA; High Desert Medical Center, Joshua Tree, CA, USA.
authors.forename: David H
authors.initials: DH
authors.lastname: Tang
authors.affiliation: International School of Tactical Medicine, Palm Springs, CA, USA; High Desert Medical Center, Joshua Tree, CA, USA.
authors.forename: Bohdan T
authors.initials: BT
authors.lastname: Olesnicky
authors.affiliation: International School of Tactical Medicine, Palm Springs, CA, USA; Veterans Administration Loma Linda Healthcare System, Loma Linda, CA, USA.
authors.forename: Michael W
authors.initials: MW
authors.lastname: Eby
authors.affiliation: International School of Tactical Medicine, Palm Springs, CA, USA; Fallbrook Community Hospital, Fallbrook, CA, USA.
authors.forename: Lawrence E
authors.initials: LE
authors.lastname: Heiskell
keywords: HemaClear® ATT; auto-transfusion tourniquet; field exsanguination; hemorrhagic shock; perfusion requirement; tourniquet