Uso de torniquetes de extremidades no ambiente pré-hospitalar: uma revisão integrativa de literatura

Abstract

Objective: To analyze the importance of tourniquet use in controlling severe hemorrhages in pre-hospital care and the main challenges encountered in its application.Methods: Integrative literature review conducted through searches in major scientific databases using the descriptors: hemorrhage control, tourniquet, pre-hospital care, trauma, and technological innovations. The search covered publications from the last 10 years. Results: A total of 200 articles were identified, of which 4 met the inclusion criteria. The analyzed studies indicate that tourniquets are effective in controlling hemorrhages in trauma situations, both in combat and civilian settings, emphasizing the importance of rapid application to prevent fatal outcomes. Continuous training for healthcare professionals was also found to be necessary, as hesitation or incorrect use may compromise results. Innovations, such as junctional tourniquets and electronic devices, were highlighted as promising advancements. Final considerations: The study reinforces that the proper application of tourniquets, supported by training and standardized guidelines, is essential to reduce mortality from severe hemorrhages across various contexts. Promoting awareness campaigns can also empower the general population to act in emergencies, enhancing effective responses in trauma scenarios finais: O estudo reforça que a aplicação adequada de torniquetes, apoiada por treinamento e diretrizes padronizadas, é essencial para reduzir a mortalidade por hemorragias graves em diversos contextos. A promoção de campanhas de conscientização pode também capacitar a população para agir em situações de emergência, ampliando a resposta eficaz em cenários de trauma scenarios.