1 From the Division of Trauma and Acute Care Surgery, Department of Surgery (J.B.H.), University of Alabama at Birmingham, Birmingham, AL; Regional Committees on Trauma (W.C.D.), University of Colorado, Trauma and Acute Care Surgery, Medical Center of the Rockies, Loveland, Colorado; Chair Tactical Combat Casualty Care Committee, I Marine Expeditionary Force Surgeon (B.G.D.), Camp Pendleton, California; Joint Trauma System (F.K.B.), Bethesda, Maryland; Joint Trauma System (J.M.G.), Falls Church, Virginia; Department of Surgery (J.M.G.), Brook Army Medical Center, San Antonio Texas; Tactical Combat Casualty Care, Joint Trauma System (H.R.M.), Defense Health Agency, Falls Church, VA; Defense Health Agency (S.A.S.), Colorado Springs, Colorado; EMS, HCESD 48 Fire Department (E.B.), Houston, Texas; Division of Trauma and Acute Care Surgery, Department of Surgery (J.D.K.), University of Alabama at Birmingham, Birmingham, Alabama; Department of Hemorrhage and Vascular Dysfunction (J.F.K.), US Army Institute of Surgical Research, Ft Sam Houston, Texas; Department of Surgery (M.A.P.), University of South Dakota-Sanford School of Medicine, Vermillion, South Dakota; Trauma and Acute Care Surgery, (M.A.P.), Avera McKennan Hospital & University Health Center, Sioux Falls, South Dakota; Department of Emergency Medicine (J.L.P.), Lewis Katz School of Medicine at Temple University, Philadelphia, Pennsylvania; Global Response Medicine (J.L.P.), New York, New York; Medical Training Team (O.Le.), Armed Forces of Ukraine, Ukraine; Combat Medic of Genetics Survival Project NGO (A.M.); 'Dyke Pole' Military Unit, Armed Forces of Ukraine (G.B.), Ukraine; Officer of the Command of the Medical Forces of the Armed Forces of Ukraine (O.D.), Kyiv, Ukraine; and Department of Military Medicine (O.Li.), Security Service of Ukraine, Deputy Minister of Health of Ukraine, Ukraine.
We have highlighted the issue of overuse of tourniquets and described why tourniquet conversion and replacement should be taught and done in the prehospital setting.