Management of non-compressible torso hemorrhage: An update

Zhi-Yang Zhang; Hua-Yu Zhang; Tomer Talmy; Yong Guo; Si-Ru Zhou; Lian-Yang Zhang; Yang Li

doi:10.1016/j.cjtee.2021.03.005

Management of non-compressible torso hemorrhage: An update

Chin J Traumatol. 2021 May;24(3):125-131. doi: 10.1016/j.cjtee.2021.03.005. Epub 2021 Mar 26.

Authors

Zhi-Yang Zhang¹, Hua-Yu Zhang¹, Tomer Talmy², Yong Guo¹, Si-Ru Zhou¹, Lian-Yang Zhang¹, Yang Li³

Affiliations

¹ Medical Center of Trauma and War Injury, Daping Hospital, Army Medical University, State Key Laboratory of Trauma, Burns and Combined Injury, Chongqing, 400042, China.
² The Institute of Research in Military Medicine, The Hebrew University of Jerusalem, Hadassah Medical Center, Jerusalem, 91120, Israel.
³ Medical Center of Trauma and War Injury, Daping Hospital, Army Medical University, State Key Laboratory of Trauma, Burns and Combined Injury, Chongqing, 400042, China. Electronic address: dpliyang@tmmu.edu.cn.

Abstract

With the widespread adoption of advanced tourniquets, the mortality rate of limb wound hemorrhage has decreased significantly, and non-compressible torso hemorrhage has gradually occupied the leading position of potentially preventable death, both in military and civilian circumstances. With the emergence of novel hemostatic devices and materials, strategies for the management of non-compressible torso hemorrhage have changed significantly. This review summarizes the current treatment strategies and types of equipment for non-compressible torso hemorrhage and suggests future research directions, hoping to provide a comprehensive review for the medical personnel and researchers engaging in this field.

Keywords: Hemostasis; Resuscitation; Shock; Torso hemorrhage; Trauma; Wartime injury.

Publication types

Review

MeSH terms

Hemorrhage* / etiology
Hemorrhage* / therapy
Hemostatics*
Humans
Torso

Substances

Hemostatics