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Innovative Medical Device Proven Effective by Military, Verified Successful with Civilian Use 

Non-compressible hemorrhages are the cause of death for tens of thousands annually1. Many injuries with difficult to manage bleeding situations in the abdomen, axilla, pelvis and inguinal areas require immediate care by first responders, paramedics, EMS professionals, emergency physicians, police officers and firefighters to help stabilize accident victims. The ability to control difficult to manage hemorrhages quickly and easily is imperative for patient survival until they can reach definitive care. 

The Abdominal Aortic and Junctional Tourniquet–Stabilized (AAJT-S) device by Compression Works, was created to provide a solution to control difficult to manage junctional hemorrhage and pelvic bleeding. The AAJT-S is a multi-functional, externally applied truncal and junctional tourniquet that utilizes a wedge-shaped bladder to press into the body to occlude blood flow through all vasculature under the site of application.

The AAJT-S is cleared by the FDA for use to control difficult bleeding situations in the abdomen, axilla, inguinal area and for pelvic fractures. The AAJT device has been used successfully in military combat2,3 and in civilian pre-hospital settings and is the only junctional tourniquet proven to save human life in upper4 and lower5 junctional bleeding. The device also provides pelvic fracture stabilization and has been shown to be equivalent to Zone 3 REBOA.6,7 

The AAJT-S has been featured in over 70 scientific publications. To learn more, download the Clinical Summary , explore the individual clinical articles or email us at info@compressionworks.com

References:

  1. Chambers JA, Seastedt K, Krell R, Caterson E, Levy M, Turner N. “Stop the Bleed”: A U.S. Military Installation’s Model for Implementation of a Rapid Hemorrhage Control Program. Mil Med. 2019 Mar 01;184(3-4):67-71. 
  2. “Abdominal Aortic Tourniquet use in Afghanistan” Journal of Special Operations Medicine, Vol 13, Edition 2, Summer 2013, pp 1-2
  3. Croushorn, J and Calloway, D, “Abdominal Aortic Tourniquet use in Afghanistan” Journal of Special Operations Medicine, Vol 13, Edition 2, Summer 2013, p 3
  4. Croushorn, J et al., “Abdominal Aortic Tourniquet Controls Junctional Hemorrhage From a Gunshot Wound of the Axilla.” Journal of Special Operations Medicine, Vol 13, Edition 3, Fall 2013, pp 1-4
  5. Croushorn, J et al., “Abdominal Aortic and Junctional Tourniquet Controls Hemorrhage From a Gunshot Wound of the Left Groin.” Journal of Special Operations Medicine, Vol 14, Edition 2, Summer 2014, pp 6-8
  6. Rall, Jason M., et al. “Comparison of Zone 3 Resuscitative Endovascular Balloon Occlusion of the Aorta and the Abdominal Aortic and Junctional Tourniquet in a Model of Junctional Hemorrhage in Swine.” Journal of Surgical Research, vol. 226, 2018, pp. 31–39.
  7. Schechtman, David W. MD; Kauvar, David S. MD; De Guzman, Rodolfo; Polykratis, I. Amy BS; Prince, M. Dale BS; Kheirabadi, Bijan S. PhD; Dubick, Michael A. PhD, “Abdominal aortic and junctional tourniquet versus zone III resuscitative endovascular balloon occlusion of the aorta in a swine junctional hemorrhage model,” Journal of Trauma and Acute Care Surgery: February 2020 – Volume 88 – Issue 2 – p 292-297

Abdominal Aortic Junctional Tourniquet - Stabilized (AAJTS) can be applied both successfully and rapidly by Combat Medical Technicians (CMTs)

Military medical services should be continuously
striving to improve patient outcomes. It is known
that ‘non-compressible’ haemorrhage is a leading
cause of preventable battlefield death1–4 and often
requires surgical or radiological intervention.5
The treatment of such injuries in the pre-hospital
environment remains a challenge, particularly in
junctional areas that are not amenable to conventional tourniquet application.

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