Law Enforcement Officer Placed Tourniquets, An Important Tool with Opportunities to Improve - A Multi-center, Multicity Study

Key Points

The study aims to evaluate the effectiveness of tourniquets (TQs) applied by law enforcement officers (LEOs) compared to those applied by emergency medical services (EMS).
Multi-center, multicity design to assess tourniquet application by LEOs and EMS.
Comparison of outcomes related to vascular injuries and bleeding between LEO-applied and EMS-applied TQs.
Analysis of trauma resource utilization and over-triage rates between the two groups.
LEO-applied tourniquets resulted in fewer major vascular injuries compared to EMS-applied tourniquets.
Removal of tourniquets by EMS was associated with a lower rate of recurrent bleeding when applied by LEOs.
Adjusting protocols for tourniquet conversion may reduce unnecessary resource use in trauma cases.

Multi-center study shows law enforcement officers improve tourniquet outcomes, suggesting protocol enhancements.

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Shukla et al. (2026) studied this question.

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