Home › Trauma › Junctional tourniquet harm after pelvic GSW

Trauma

Junctional tourniquet harm after pelvic GSW

Between Hemorrhage and Harm: Complications of the Abdominal Aortic and Junctional Tourniquet-Stabilized
Prehospital Emergency Care · Added 1 September 2026

Case report of a patient with AAJT-S placed prehospital for pelvic gunshot wounds who suffered cardiac arrest upon device removal and developed metabolic acidosis, compartment syndrome, rhabdomyolysis, renal and liver infarcts, pulmonary emboli, and stroke

Study type

Case series

Design

Case report with literature review

Participants

1 young adult male with pelvic and lower limb gunshot wounds

Main finding

Removal of a prehospital AAJT-S was followed by cardiac arrest and complications including metabolic acidosis, compartment syndrome, rhabdomyolysis, renal and liver infarcts, pulmonary emboli and stroke

Caveat

Single case; confounding by injury severity and shock cannot be excluded

Bottom line

Hypothesis-generating

Learning goal

Weigh the risks and benefits of junctional tourniquet use in pelvic haemorrhage, including complications at removal.

More

• Topic: Trauma
• Daily scan: 1 September 2026

Related papers on Trauma

• Prehospital blood for non-traumatic haemorrhage

  Prehospital Emergency Care · 1 Sep 2026 · Case series · Hypothesis-generating

  Retrospective observational study of prehospital whole blood for non-traumatic haemorrhagic shock across two US systems — GI bleeding (49%) and unspecified shock (43%) were the main indications, vitals improved (HR 102→96, SBP 83→106)

• Safety warning: SPEAR chest decompression device

  Annals of Emergency Medicine · 1 Sep 2026 · Guideline / statement · Context only

  Safety warning about potential risks with the SPEAR® device marketed for out-of-hospital needle decompression of the chest. Abstract not yet available (ahead-of-print).

• Blunt vs penetrating trauma physiology and outcomes

  Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine · 30 Aug 2026 · Registry · Context only

  This Swedish registry of 2,193 trauma patients (353 penetrating) found penetrating trauma patients were younger (median 34 vs 49 years), more often male (78% vs 66%), more frequently in shock on arrival (5.9% vs 2.2%), and more likely to require emergency surgery (53% vs 30%) and early blood transfusion (20% vs 4.5%).

• Predicting prehospital blood need after MVC trauma

  Prehospital Emergency Care · 29 Aug 2026 · Registry · Hypothesis-generating

  Machine learning models using NEMSIS data achieved strong discrimination (AUC 0.906) for predicting prehospital blood transfusion after motor vehicle trauma, identifying physiologic measures and shock designation as key predictors.