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A Pre-hospital Technique for Controlling Haemorrhage from Traumatic Perineal and High Amputation Injuries
  1. JM Quayle, Core Trainee in General Surgery1 and
  2. Lt Col GO Rhys Thomas, Consultant Anaesthetist2
  1. 1MDHU Frimley Park, Portsmouth Road, Camberley, Surrey
  2. 216 Air Assault Medical Regiment, and Honorary Royal London NHS Trust London and Queen Victoria’s East Grinstead
  1. 23 Dawnay Rd, Camberley, Surrey, GU15 4LR 07971184363 rhys{at}


Perineal trauma resulting from the adaptive use of improvised explosive devices (IEDs) has become an increasingly common problem during current operational conflicts in Afghanistan. Control of haemorrhage from the perineum and high amputations is a particular challenge due to the bony anatomy, rich pelvic vascular supply and the difficulty in achieving haemostasis by direct pressure. In this article, the authors describe a potential pre-hospital solution for controlling haemorrhage from perineal and high amputation injuries.

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