Prolonged Field Care Podcast: Tourniquet Conversion

In this episode of the PFC Podcast, Dennis and Jamie discuss the critical topic of tourniquet conversion versus replacement in trauma care. They explore the guidelines for when and how to convert a tourniquet, the implications of prolonged tourniquet use, and the importance of assessing limb salvageability. The conversation also covers the management of reperfusion injury and the use of calcium and bicarbonate in resuscitation. Jamie emphasizes the need for medics to be prepared and confident in their decision-making to ensure the best outcomes for their patients. Takeaways Tourniquet conversion is crucial for effective hemorrhage control. Understanding the difference between conversion and replacement is essential. Guidelines for conversion depend on the tactical situation. The two-hour mark for tourniquet application is significant for patient outcomes. Resuscitation goals should guide the timing of tourniquet conversion. Be prepared for potential reperfusion injuries after conversion. Assess the viability of the limb before making decisions. Calcium administration can help stabilize the heart during resuscitation. Medics should be confident in their ability to convert tourniquets. Always prioritize patient resuscitation over limb preservation. Chapters 00:00 Understanding Tourniquet Conversion vs. Replacement 03:14 Guidelines for Tourniquet Conversion 08:59 The Two-Hour Rule and Its Implications 12:55 Techniques for Tourniquet Conversion 18:11 Challenges of Prolonged Tourniquet Use 23:48 Assessing Limb Salvageability 29:36 Managing Reperfusion Injury 35:30 Calcium and Bicarbonate in Resuscitation 46:40 Final Advice for Medics on Tourniquet Conversion Thank you to Delta Development Team for in part, sponsoring this podcast. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠deltadevteam.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ For more content go to ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.prolongedfieldcare.org⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠ Consider supporting us: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠patreon.com/ProlongedFieldCareCollective⁠⁠⁠⁠⁠⁠ or ⁠⁠⁠⁠⁠⁠www.lobocoffeeco.com/product-page/prolonged-field-care