
MJM Medical Direction Consortium Services

Our Mission: To provide EMS medical direction, continuing education, and patient care related skills development to promote a consistent and progressive model of prehospital patient care throughout Greater Minnesota
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I’ve been reading conflicting procedures in the use of a tourniquet. If a patient has a bleed around the ankle, should the tourniquet be just proximal to the wound or put up on the thigh (single bone)? Was wondering because of the ischemia it would cause the leg"
We continue to recommend applying the tourniquet “high and tight” for extremity injuries and at least a “hand palm” width above the injury, never over a joint. It has been found, that even for prolonged applications of the tourniquet, long term CMS injury to the distal extremity is limited. Orthopedic surgeons use the intervention frequently for joint replacement, etc, to limit bleeding, with positive outcomes. In order for a tourniquet to work adequately, it has to be placed over the part of the extremity that has a single bone in order to get adequate compression.
MJM Medical Direction Consortium Services
MJM Medical Direction Consortium is a registered 501(c)3 organization. All donations are tax deductible in full or in part.
