{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:46:44Z","timestamp":1747172804543,"version":"3.40.5"},"reference-count":34,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T00:00:00Z","timestamp":1699401600000},"content-version":"unspecified","delay-in-days":311,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Disaster med. public health prep."],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>Search and rescue teams and Antarctic research groups use protective cold-water anti-exposure suits (AES) when cruising on Zodiacs. Extremity tourniquet (ET) self-application (SA) donned with AESs has not been previously studied. Our study therefore assessed the SA of 5 commercial ETs (CAT, OMNA, RATS, RMT, and SWAT-T) among 15 volunteers who donned these suits. Tourniquet\u2018s SA ability, ease of SA, tolerance, and tourniquet preference were measured. All ETs tested were self-applied to the upper extremity except for the SWAT, which was self-applied with the rest to the lower extremity. Ease- of- SA mean values were compared using the Friedman and Durbin-Conover post hoc tests <jats:italic>(P<\/jats:italic> &lt; 0.001). Regarding the upper extremity, OMNA achieved the highest score of 8.5 out of 10, while RMT, and SWAT received lower scores than other options <jats:italic>(P &lt;<\/jats:italic> 0.001). For lower extremities, SWAT was found to be inferior to other options <jats:italic>(P &lt;<\/jats:italic> 0.01). Overall, OMNA was the best performer. The RATS showed significantly lower tolerance than the other groups in repeated- measures ANOVA with a Tukey post hoc test <jats:italic>(P &lt;<\/jats:italic> 0.01). Additionally, out of the 5 ETs tested, 60% of subjects preferred OMNA. The study concluded that SA commercial ETs are feasible over cold-water anti-exposure suits in the Antarctic climate.<\/jats:p>","DOI":"10.1017\/dmp.2023.179","type":"journal-article","created":{"date-parts":[[2023,11,8]],"date-time":"2023-11-08T08:59:16Z","timestamp":1699433956000},"source":"Crossref","is-referenced-by-count":2,"title":["Extremity Tourniquet Self-Application by Antarctica Zodiac Crew Members"],"prefix":"10.1017","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4998-5915","authenticated-orcid":false,"given":"Carlos","family":"Y\u00e1nez Ben\u00f1itez","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Te\u00f3filo","family":"Lorente-Aznar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Idurre","family":"Labaka","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1igo","family":"Soteras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marta","family":"Baselga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Morishita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr.","given":"Marcelo","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"G\u00fcemes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2023,11,8]]},"reference":[{"key":"S1935789323001799_ref10","doi-asserted-by":"crossref","first-page":"859","DOI":"10.1016\/j.jemermed.2019.09.009","article-title":"Severe sea lion bites in urban cold-water swimmers","volume":"57","author":"Kornblith","year":"2019","journal-title":"J Emerg Med."},{"key":"S1935789323001799_ref3","unstructured":"3. Secretariat of the Antarctic Treaty. The Antarctic Treaty. https:\/\/www.ats.aq\/e\/antarctictreaty.html. Accessed November 10, 2020."},{"key":"S1935789323001799_ref6","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1042\/cs0770581","article-title":"The initial responses to cold-water immersion in man","volume":"77","author":"Tipton","year":"1989","journal-title":"Clin Sci."},{"key":"S1935789323001799_ref2","unstructured":"2. World Atlas. Countries with Antarctic research stations. www.worldatlas.com\/articles\/30-countries-with-antarctic-research-stations.html. 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Med."},{"key":"S1935789323001799_ref7","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.1113\/EP086283","article-title":"Cold water immersion: kill or cure?","volume":"102","author":"Tipton","year":"2017","journal-title":"Exp Physiol."},{"key":"S1935789323001799_ref8","first-page":"276","article-title":"Ship\/ rig personnel abandonment and helicopter crew\/ passenger immersion suits: the requirements in the North Atlantic","volume":"57","author":"Brooks","year":"1986","journal-title":"Aviat Space Environ Med."},{"key":"S1935789323001799_ref11","doi-asserted-by":"crossref","first-page":"S35","DOI":"10.1097\/TA.0000000000002198","article-title":"From the battlefield to main street: tourniquet acceptance, use, and translation from the military to civilian settings","volume":"87","author":"Goodwin","year":"2019","journal-title":"J Trauma Acute Care Surg."},{"key":"S1935789323001799_ref24","doi-asserted-by":"crossref","first-page":"83","DOI":"10.55460\/2CXR-1UVJ","article-title":"Clothing effects on limb tourniquet application","volume":"20","author":"Wall","year":"2020","journal-title":"J Spec Oper Med."},{"volume-title":"Essentials of Sea Survival","year":"2002","author":"Golden","key":"S1935789323001799_ref5"},{"key":"S1935789323001799_ref33","doi-asserted-by":"crossref","first-page":"52","DOI":"10.55460\/6KC3-CFTS","article-title":"OMNA Marine Tourniquet Self-Application","volume":"20","author":"Hingtgen","year":"2020","journal-title":"J Spec Oper Med."},{"key":"S1935789323001799_ref12","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1097\/TA.0000000000000747","article-title":"Tourniquet use for civilian extremity trauma","volume":"79","author":"Inaba","year":"2015","journal-title":"J Trauma Acute Care 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the extremities at sub-systolic pressures through the use of wide tourniquet cuffs","volume":"286","author":"Graham","year":"1993","journal-title":"Clin Orthop."},{"key":"S1935789323001799_ref17","doi-asserted-by":"crossref","first-page":"43","DOI":"10.55460\/6I5C-DGVI","article-title":"Special operations individual medical equipment: part I--the major trauma kit","volume":"9","author":"Geers","year":"2009","journal-title":"J Spec Oper Med."},{"key":"S1935789323001799_ref22","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1016\/j.wem.2021.04.005","article-title":"The Wind-Chill Index","volume":"32","author":"Lankford","year":"2021","journal-title":"Wilderness Environ Med."},{"key":"S1935789323001799_ref13","doi-asserted-by":"crossref","first-page":"769","DOI":"10.1016\/j.jamcollsurg.2018.01.047","article-title":"Civilian prehospital tourniquet use is associated with improved survival in patients with Peripheral Vascular Injury","volume":"226","author":"Teixeira","year":"2018","journal-title":"J Am Coll Surg."},{"key":"S1935789323001799_ref28","doi-asserted-by":"crossref","first-page":"14","DOI":"10.55460\/RK5J-VMQV","article-title":"Short report comparing Generation 6 versus Prototype Generation 7 Combat Application Tourniquet\u00ae in a Manikin Hemorrhage Model","volume":"16","author":"Kragh","year":"2016","journal-title":"J Spec Oper Med."},{"key":"S1935789323001799_ref18","doi-asserted-by":"crossref","first-page":"61","DOI":"10.55460\/FUHO-CU87","article-title":"An inventory of the combat medics\u2019 aid bag","volume":"20","author":"Schauer","year":"2020","journal-title":"J Spec Oper Med."},{"key":"S1935789323001799_ref1","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/j.jemermed.2019.01.009","article-title":"Remote healthcare at U.S. Antarctic stations: a comparison with standard emergency medical practice","volume":"56","author":"Iserson","year":"2019","journal-title":"J Emerg 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warfare","volume":"82","author":"Lechner","year":"2023","journal-title":"Int J Circumpolar Health."},{"key":"S1935789323001799_ref15","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.wem.2014.08.018","article-title":"Application of current hemorrhage control techniques for backcountry care: part two, hemostatic dressings and other adjuncts","volume":"26","author":"Littlejohn","year":"2015","journal-title":"Wilderness Environ Med."},{"key":"S1935789323001799_ref29","doi-asserted-by":"crossref","first-page":"52","DOI":"10.55460\/6KC3-CFTS","article-title":"OMNA Marine Tourniquet Self-Application","volume":"20","author":"Hingtgen","year":"2020","journal-title":"J Spec Oper Med."},{"key":"S1935789323001799_ref21","unstructured":"21. Pedrero, RA. Temperatura del aire en las islas Livingston y Decepci\u00f3n, Ant\u00e1rtida, en el periodo 2006\u20132021, y an\u00e1lisis de las tendencias de evoluci\u00f3n [bachelor\u2019s thesis]. Madrid, Spain: Universidad de Alcal\u00e1; 2022."}],"container-title":["Disaster Medicine and Public Health Preparedness"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1935789323001799","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,13]],"date-time":"2023-12-13T04:52:27Z","timestamp":1702443147000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1935789323001799\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":34,"alternative-id":["S1935789323001799"],"URL":"https:\/\/doi.org\/10.1017\/dmp.2023.179","relation":{},"ISSN":["1935-7893","1938-744X"],"issn-type":[{"type":"print","value":"1935-7893"},{"type":"electronic","value":"1938-744X"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e561"}}