Until recently, three junctional tourniquet models were available on the market: the Junctional Emergency Treatment Tool (JETT), the SAM Junctional TQ, and the Combat Ready Clamp (CRoC). The Abdominal Aortic & Junctional Tourniquet (AAJT), previously only indicated for truncal use to prevent inguinal bleeding, can be now added to this list since it has recently received FDA clearance for junctional use. According to the American Committee on Tactical Combat Casualty Care (TCCC), the desirable traits of junctional tourniquets include: effective control of hemorrhage from junctional areas, safety, amenable to battlefield and tactical situations, low weight, low cost, ease of use, speed of application and stability.
The introduction and appropriate use of junctional tourniquets has the potential to save many lives. A review of the clinical effectiveness and safety of the various junctional tourniquets on the market, along with the associated guidelines, will inform decisions on the best model to select for pre-hospital control of hemorrhages.
Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts within the time allowed. Rapid responses should be considered along with other types of information and health care considerations. The information included in this response is not intended to replace professional medical advice, nor should it be construed as a recommendation for or against the use of a particular health technology. Readers are also cautioned that a lack of good quality evidence does not necessarily mean a lack of effectiveness particularly in the case of new and emerging health technologies, for which little information can be found, but which may in future prove to be effective. While CADTH has taken care in the preparation of the report to ensure that its contents are accurate, complete and up to date, CADTH does not make any guarantee to that effect. CADTH is not liable for any loss or damages resulting from use of the information in the report.