{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T08:12:44Z","timestamp":1778055164199,"version":"3.51.4"},"reference-count":19,"publisher":"BMJ","issue":"Suppl 2","license":[{"start":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T00:00:00Z","timestamp":1778025600000},"content-version":"unspecified","delay-in-days":5,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2026,4,8]]},"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:p>Hemorrhage is the leading cause of preventable death in trauma, and tourniquets have become standard for extremity hemorrhage in both civilian settings and combat. Proponents argue that timely and properly applied tourniquets significantly improve survival in appropriately selected patients. Critics of frequent tourniquet use highlight the high rates of inappropriate application and associated complications, especially with prolonged use. Both sides agree that tourniquets can be lifesaving, but emphasize the need for proper training, appropriate use, and implementation of tourniquet conversion and replacement strategies. Evolving experience underscores the importance of adapting tourniquet use to modern battlefield and civilian realities. This manuscript summarizes a debate held at the 42nd Annual Point\/Counterpoint Acute Care Surgery Conference regarding the benefits and risks of tourniquet use for extremity injuries.<\/jats:p>","DOI":"10.1136\/tsaco-2026-002341","type":"journal-article","created":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T07:20:12Z","timestamp":1778052012000},"page":"e002341","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Do tourniquets for extremity injuries save lives?"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0342-4768","authenticated-orcid":false,"given":"Taylor","family":"Miller","sequence":"first","affiliation":[{"name":"R Adams Cowley Shock Trauma Center, Baltimore, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Travis","family":"Polk","sequence":"additional","affiliation":[{"name":"Combat Casualty Care Research Program, US Army Medical Research and Development Command, Fort Detrick, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3032-5880","authenticated-orcid":false,"given":"Sharon M","family":"Henry","sequence":"additional","affiliation":[{"name":"Program in Trauma, University of Maryland, Baltimore, Maryland, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,5,5]]},"reference":[{"key":"2026050600200843000_11.Suppl_2.e002341.1","doi-asserted-by":"crossref","first-page":"464","DOI":"10.1097\/TA.0000000000004103","article-title":"Damage control resuscitation in adult trauma patients: What you need to know","volume":"95","author":"Lammers","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182755dcc"},{"key":"2026050600200843000_11.Suppl_2.e002341.3","doi-asserted-by":"crossref","first-page":"e54","DOI":"10.1097\/TA.0000000000004134","article-title":"Rethinking limb tourniquet conversion in the prehospital environment","volume":"95","author":"Holcomb","year":"2023","journal-title":"J Trauma Acute Care Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2009.07.022"},{"key":"2026050600200843000_11.Suppl_2.e002341.5","unstructured":"American College of Surgeons . 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And who does not? Lessons learned from a review of tourniquet use in the Russo-Ukrainian war","volume":"97","author":"Butler","year":"2024","journal-title":"J Trauma Acute Care Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.12","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1093\/milmed\/usac208","article-title":"Application of Hemostatic Tourniquet on Wounded Extremities in Modern \u201cTrench\u201d Warfare: The View of a Vascular Surgeon","volume":"189","author":"Yatsun","year":"2024","journal-title":"Mil Med"},{"key":"2026050600200843000_11.Suppl_2.e002341.13","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-013-1826-4"},{"key":"2026050600200843000_11.Suppl_2.e002341.14","doi-asserted-by":"crossref","first-page":"4255","DOI":"10.1007\/s00068-022-01973-4","article-title":"Prehospital extremity tourniquet placements-performance evaluation of non-EMS placement of a lifesaving device","volume":"48","author":"Mokhtari","year":"2022","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.15","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/TA.0000000000003247","article-title":"Implications of the national Stop the Bleed campaign: The swinging pendulum of prehospital tourniquet application in civilian limb trauma","volume":"91","author":"Mikdad","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.16","doi-asserted-by":"crossref","DOI":"10.1007\/s00068-024-02716-3","article-title":"Increasing prehospital tourniquet use attributed to non-indicated use: an 11-year retrospective study","volume":"51","author":"Hedger","year":"2025","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2026050600200843000_11.Suppl_2.e002341.17","doi-asserted-by":"crossref","DOI":"10.3390\/medicina61010093","article-title":"Is the Use of Tourniquets More Advantageous than Other Bleeding Control Techniques in Patients with Limb Hemorrhage? 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