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Tourniquet Training Program Assessed by a New Performance Score

  • Thibault Martinez (a1) (a2), Sandrine Duron (a3), Jean-Vivien Schaal (a1), Yoann Baudoin (a4) (a5), Olivier Barbier (a4) (a6), Jean-Louis Daban (a1), Mathieu Boutonnet (a1), Sylvain Ausset (a1) (a2) and Pierre Pasquier (a1) (a4)...



Application of a tourniquet is the cornerstone in management of combat-related extremity hemorrhages. Continuous and appropriate training is required to use tourniquets correctly.


The aim of this study was to analyze the impact of a refresher training session, conducted directly in the theater of military operations, on the performance of tourniquet use.


During their deployment (October 2015-April 2016) in the Central African Republic, a first simulation session evaluated soldiers from two combats platoons for the application of the SOFFT (Special Operation Forces Tactical Tourniquet; Tactical Medical Solutions; Anderson, South California USA) tourniquet. After randomization, a R (+) group underwent a refresher training session, while a R (−) group did not. Two months later, a second simulation session was conducted for both groups: R (+) and R (−). A dedicated score (one to seven points), including delay and effectiveness, evaluated the soldiers’ performance for tourniquet application.


Twenty-six subjects were included in the R (+) group and 24 in the R (−) group. Between the two assessments, the score improved for 61.5% of subjects of the R (+) group and 37.5% subjects of the R (−) group (P=.09). More particularly, the performance score increased from 4.2 (SD=1.4) to 5.5 (SD=0.9; P=.002) in subjects of the R (+) group whose last training for tourniquet application was over six months prior.


A refresher tourniquet training session, conducted directly in a combat zone, is especially effective for soldiers whose last training session was over six months prior. A dedicated score can assess appropriately the performance of tourniquet training.

MartinezT, DuronS, SchaalJV, BaudoinY, BarbierO, DabanJL, BoutonnetM, AussetS, PasquierP. Tourniquet Training Program Assessed by a New Performance Score. Prehosp Disaster Med. 2018;33(5):519525.


Corresponding author

Correspondence: Thibault Martinez, MD Federation of Anaesthesiology, Intensive Care Unit, Burns, and Operating Theatre Percy Military Teaching Hospital 101 Avenue Henry Barbusse 92140 Clamart, France E-mail:


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Tourniquet Training Program Assessed by a New Performance Score

  • Thibault Martinez (a1) (a2), Sandrine Duron (a3), Jean-Vivien Schaal (a1), Yoann Baudoin (a4) (a5), Olivier Barbier (a4) (a6), Jean-Louis Daban (a1), Mathieu Boutonnet (a1), Sylvain Ausset (a1) (a2) and Pierre Pasquier (a1) (a4)...


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