Tennessee Medicine E-Journal


Arteriovenous (AV) graft and fistula hemorrhage is a known complication and regaining control can be a messy ordeal. Although tourniquet use is not a first line treatment, it does allow for an additional avenue to controlling a potentially life threatening bleed. Tourniquets have fluctuated from being widely accepted to taboo to once again gaining acceptance. The civilian sector has traditionally been lagging behind the military in trauma care. According to the latest Tactical Combat Casualty Care (TCCC) military guidelines, tourniquets are first line treatment for life-threatening external hemorrhage when applicable. Tourniquets have been well documented to gain control of bleeding in traumatic situations but not much has been reported for use in fistula/graft control.