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Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage – A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors

  • Bruce Richard Paix (a1), David John Tingey (a2), Grant Copley (a2), Matthew Casson (a1), Damien Shoolbread (a1), Hari Davuluru (a1), James Doube (a1), Wade Emmerton (a1) and Ryan Kennedy (a2)...

Abstract

External aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet.

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Corresponding author

Correspondence: Bruce Paix, MBBS, FANZCA, 26 Smith Rd, Echunga, 5153Australia, E-mail: flyingdoc@bigpond.com

References

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Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage – A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors

  • Bruce Richard Paix (a1), David John Tingey (a2), Grant Copley (a2), Matthew Casson (a1), Damien Shoolbread (a1), Hari Davuluru (a1), James Doube (a1), Wade Emmerton (a1) and Ryan Kennedy (a2)...

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