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MATResponderTM

Tourniquet

Training Session

© 2014 Pyng Medical Corp.

July 2014 PM-178a

Pyng Medical Corp.

www.pyng.com

1-604-303-7964

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Index

• Slide 3: Why Tourniquets

• Slide 7: Advantages of MATResponder

• Slide 10: MATResponder Explained

• Slide 13: Application Procedure

• Slide 19: Adjustment/Removal

• Slide 22: Re-applying and Resetting

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Why Tourniquets?

• Severe limb trauma is a common cause of moderate to severe extremity bleeding, amputation and fatalities

• Tourniquet use controls life-threatening hemorrhage from an extremity injury and increases patient survival

• Tourniquets have been used in the military and civilian pre-hospital care for thousands of years to save lives and limbs

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Why Tourniquets?

• Every service member in the U.S. Military is deployed with a tourniquet as part of their first aid kit

• If applied correctly and efficiently, tourniquets save lives with low incidence of adverse side effects

• Methods to stop moderate to severe bleeding such as pressure points and dressing takes considerably longer and do not ensure that blood loss is completely stopped

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Why Tourniquets?

• Tourniquets provide EMS providers with an effective tool for decreasing blood loss when elevation and direct pressure fail

• Tourniquets offer EMS providers a quick and effective solution to stop extremity bleeding, allowing time to assess for other injuries or treat other patients

• The use of tourniquets during man-made or naturally caused mass casualty events extends resources

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Why Tourniquets?

• A study at Boston Medical Center from

1999-2006 found that “…pre-hospital

tourniquets can be appropriately applied to

control life-threatening hemorrhage from

an extremity injury, and that their use is

not associated with neurovascular

complications.”

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Advantages of MATResponderTM

• FAST: application and blood-flow occlusion in under 30 seconds

• SAFE: compression can be applied in small, controlled increments

• EASY TO USE: designed for all levels of medical personnel and can be quickly taught to non-medical personnel

• EFFECTIVE: provides 100% blood flow occlusion (as measured by Doppler, BP and Oximeter sensors)

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Advantages of MATResponderTM

• EFFICIENT: can be applied with one hand

• MULTI-PURPOSE: the open C-Cuff design allows MATResponderTM to be applied to both arms and legs, including trapped limbs

• VERSATILE: can be used on limbs as small as a 4” diameter forearm to a 39” circumference thigh

• RAPID RELEASE: easy release and/or re-application in 10 seconds or less

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Advantages of MATResponderTM

• SECURE: Mechanical Advantage system ensures that tourniquet does not slip or loosen

• LIGHT-WEIGHT: weighs under 6 ounces and comes in a compact package

• DURABLE: operates in extreme and adverse conditions such as mud and grime submersion, water submersion, sand submersion, extreme cold, ice-encrustmentand hard surface (concrete) impact

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MATResponderTM

Tourniquet

Buckle + Strap

Turn Key Application

C-Cuff Design

Release Button

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MATResponderTM

Explained

• Open C-Cuff design provides easy application to both arms and legs

• Buckle and Strap design provides fast, trapped limb application

• Turn Key system provides easy and safe tightening of the tourniquet in small, controlled increments, making it adjustable for various body types and sizes

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MATResponderTM

Explained

• Turn Key Mechanical Advantage Mechanism ensures no slipping or loosening of the tourniquet

• Release Button, along with the buckle, provide for fast loosening, releasing, and re-application of the tourniquet

• EMS Safety Orange Color provides quick visual confirmation that a tourniquet is in place

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Application Procedure -summary

1. Place MATResponder around limb above the injury.

3. Pull the webbing tight. It is important

to tightly pull the

webbing before

rotating the Turn

Key.

4. Rotate the Turn Key to tighten.

5. Record date & time.

6. Secure the loose webbing before transport.

2. Connect the buckle.

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Application Procedure

1. PLACEMENT—Place the MATResponder around the limb, 1”-2” above the injury, or as high on the limb as possible based on your training and organization’s tourniquet protocols. It is best to keep the hook for the buckle oriented toward the patient's midline.

2. PLACEMENT—There are two techniques for applying the MATResponder. They include (1) slipping the tourniquet on over the injured limb with the buckle already connected, or, (2) positioning the chassis and then wrapping the adjustment end of the webbing around the injured limb, and connecting the buckle to the hook on the chassis.

Either is acceptable for PLACEMENT.

PLACEMENT—Above the bicep

The MATResponder is positioned

correctly, the buckle is connected

and you are ready to tighten.

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Application Procedure3. PULL—Hold the chassis in one hand, and with the other PULL the loose end of the adjustment webbing until the tourniquet is seated tightly against the patient's limb. You should not be able to fit more than 1-2 fingers underneath the webbing at this point. It is important to tightly pull the webbing before rotating the Turn Key.

4. ROTATE—Begin slowly turning the Turn Key clockwise to tighten the tourniquet. Continue turning until bleeding stops, or hemorrhage is controlled. The patented mechanical application system on the MATResponder allows for fine micro adjustments in pressure, requiring minimal user applied force by the Provider during application. The Turn Key is easy to turn even in one-handed applications with a wounded hand.

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Application Procedure

5. RECORD—Flip the Turn Key down into the “folded” position. Using the application date & time tab affixed to the Turn Key, annotate the time of the application using a suitable writing instrument (sharpie or ink pen).

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Application Procedure

6. SECURE—BEFORE TRANSPORT: After you have stopped the bleeding, before you transport the patient, you will need to secure the loose end of the adjustment webbing to prevent snags, entanglements or any action that might cause the tourniquet to become dislodged. Shown is an option for accomplishing this.

Unsecured Webbing

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Application Procedure

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Adjustment/Removal ProcedureNOTE: ADJUSTMENT or REMOVAL—There may be occasion where the tourniquet will require adjustment, or, removal. Following are the recommended steps for this procedure.

7. ADJUSTMENT—After loosening the adjustment webbing so that it is free standing, flip up the Turn Key so that it can rotate freely.

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Adjustment/Removal Procedure8. PUSH BUCKLE—One way to release pressure slowly, is to push the spring loaded pressure gate on the buckle. Doing so will allow the webbing to slowly slide through the gate and will not cause a rapid release of pressure, possibly causing a rebleed.

9. PUSH RELEASE BUTTON—You can also push the RELEASE button, which is so labeled on the tourniquet chassis. Remember, when this button is depressed, the Turn Key will rotate quickly counterclockwise releasing all pressure. You can control this release by gripping the Turn Key and regulating the release speed.

Use other hand to

control speed of

Turn Key release

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Adjustment/Removal Procedure

10. UNHOOK BUCKLE—To remove or effect the final release of the tourniquet, you can unhook the buckle and remove the MATResponder altogether.

NOTE: If the tourniquet is going to be moved and reapplied on the same patient, remember it must be placed in the READY mode again. To do this, extend the buckle to the far end of the adjustment webbing, then push the RELEASE button, and while grasping the near end of the webbing, pull the webbing all the way out of the chassis again. (See Instructions Slide 24)

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Re-applying MATResponderTM

CLINICAL USE WARNING:

Re-use of MATResponderTM is not recommended once it has been used on an injured person, due to the potential of cross-contamination. Serious injury or death may result.

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Re-applying MATResponderTM

TRAINING USE:

MATResponderTM can be used multiple times for training purposes, as long as it is properly RESET each time (see next slide).

WARNING:

If the MATResponderTM device is not properly reset, there is a risk that the Turn Key mechanism may bind or fail to work properly.

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Resetting MATResponderTM

A. While pushing the REDRELEASE button, pull webbing all the way out, until you see the stitching at the end of the webbing.

B. Move the buckle to the far end of the adjustment webbing

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References

• Doyle, GS, Tailac, PP, Tourniquets: A review of Current Use with Proposals for Expanded Prehospital Use. Prehospital Emergency Care 2008, 12:2, 241-256

• Richey, SL, Tourniquets for the Control of Traumatic Hemorrhage: A Review of the Literature, World Journal of Surgery, 2007, 2:28

• Mabry, RL, Tourniquet Use on the Battlefield, Military Medicine 2006; 171:352-356

• Kalish, J. Burke, P. Feldman, J. The Return of Tourniquets, JEMS, AUG 2008, Vol. 33:8

• Army Medical Training Center Test 4/8/2005

• NEDU ONR/MARSYSCOM Test 6-8/2005

• NEDU ONR/MARSYSCOM Test 8-11/2006

• Navy Trauma Training Center Test 7-9/2005

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