Combat Application Tourniquet (C-A-T)

FAKE TOURNIQUET 

Combat Tourniquet One of Army’s Top 10 Inventions for ’05

by TIM ODELL on Jun 22, 2006 • 12:56 pm

Combat Application Tourniquet (C-A-T)

Combat Application Tourniquet (C-A-T)

A new design for a tourniquet for use in combat has brought the devices back into favor with Army surgeons.
The Combat Application Tourniquet was tested along with eight other tourniquets in 2004 at the U.S. Army Institute of Surgical Research in San Antonio, Texas. The evaluation was prompted because many deploying Soldiers and units were purchasing tourniquets off the Internet, but the tourniquets’ effectiveness had not been determined. Once testing was complete, the institute’s researchers recommended the Combat Application Tourniquet be pushed to deployed troops to stop otherwise lethal blood loss.
“If USAISR (U.S. Army Institute of Surgical Research) hadn’t done the work, there still wouldn’t have been an effective tourniquet out there,” said Dr. Tom Walters of the institute that studies how to save the lives of Soldiers who are wounded in combat.
Up until that point, he added, the tourniquets that were available through the military’s supply system included a cravat-and-stick tourniquet that Soldiers were taught how to use in basic training and the strap-and-buckle tourniquet that dated back to the American Civil War. The latter “had always been known to be ineffective,” Walters said.
In the “tourniquet-off” held at the institute during the summer of 2004, 18 volunteers helped evaluate the nine tourniquets’ ability to cut off blood flow. When the results were in, the CAT, as well as two other tourniquets, came out on top. The CAT had a smaller learning curve than the others, so researchers recommended it for the Army. The Marine Corps has adopted it as well.

“Tourniquets are being used on almost every extremity injury, and they are saving lives,” said Holcomb, who was recently deployed as a surgeon at the 10th Combat Support Hospital in Iraq. “Tourniquets were rarely seen early in the war, and now it’s abnormal to see a severe extremity injury without a functional tourniquet in place. There is no pre-hospital device deployed in this war that has saved more lives than tourniquets.”

While it’s certainly come at a tremendous human cost, the Iraq war has shown us entire fields of technology where we’ve been lacking. Say what you will about technology that improves offensive potential, but innovations to keep soldiers and civilians alive are always good ideas.
More from ARNews…
Flashbacks: The Special Operations Forces Tactical Tourniquet; Army Develops Improved Tourniquet

MedGadget

Curso TECC España TACTICAL EMERGENCY CASUALTY CARE. TACMED Tactical Medicine

Drone-Based Emergency Medical Rescue System Presented

Drone-Based Emergency Medical Rescue System Presented

Getting paramedics to a site of an injury can often be challenging if the stricken person is on top of a cliff, in a forest, or some other hard to reach place. Italo Subbarao, DO, senior associate dean at William Carey University College of Osteopathic Medicine, and Guy Paul Cooper Jr., a med student at the college, and others, developed the new drone delivery system that can ferry emergency supplies and a communication system to allow nearby people to treat patients with help of remote physicians.

The system was demonstrated two days ago at the John Bell Airport in Bolton, Mississippi in front of the Governor of that state, as well as officials from the Federal government as well as from the United Nations.

The HiRO (Health Integrated Rescue Operations) drone system delivers a case that includes medical supplies as well as a cellular-connected Google Glass smart glasses. A person near the stricken patient is expected to put on the glasses, which send the video in front of them to a remote physician. The physician can then see what’s going on and lead the deputized civilian through the necessary treatment steps that utilize the supplies in the case.

The HiRO has so far been tried with two package types. One designed to treat a single person, while another meant for mass casualty events.

Check out this video that shows how the system is meant to work:  http://www.medgadget.com/2016/12/drone-based-emergency-medical-rescue-system-presented.html

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

by EDITORS on Mar 4, 2014 • 3:17 pm

Mobiu, a Korean company, aiming to improve the recovery experience has developed a new IV pole that’s worn like a backpack and, while looking pretty silly, allows the patient to at least get out for a walk.

The IV pouch hangs above the patient on a plastic pole that’s strapped onto the shoulder. The whole unit (without the drugs) weighs less than 400 grams, and as long as the patient remains upright, the medicine will flow. The device is not yet available, but the company is planning to soon release it in four different sizes, according to the AVINGnews service.

Features from the product page:

• Easy to wear/take off alone.
• Comfotable to wear for an extended period by distributing weight.
• Accommodates IV in 500ml, 1000ml PVC types and 500ml Bottle Type.
• IV containers safely mounted at three points to prevent shaking/rocking.
• Can be worn either left/right shoulder.
• Excellent wearable feeling by applying the most advanced triple soft pad,
• Easy to assemble/disassemble/maintain.
• Built with Strong and Lightweight plastic material (PP : Polypropylene).

EZpole Lets You Take Your IV Drip Along on a Post Surgical Hike

 Information from medGadget

Evena Eyes-On Glasses System that helps clinicians see vasculature below the skin and deliver needles safely and hopefully on the first try every time. Video

Evena Eyes-On Glasses System

Evena Eyes-On Glasses System

Evena Medical (Los Altos, CA) has unveiled its new Eyes-On Glasses System that helps clinicians see vasculature below the skin and deliver needles safely and hopefully on the first try every time. The glasses are based onEpson‘s Moverio technology that, similarly to Google Glass, can display graphics for the wearer to see, but goes further with a pair of forward facing cameras for 3D imaging and illumination to brighten the scene.

Though it uses multi-spectral lighting, we suppose that it’s the infrared and near-infrared frequencies that the cameras are tuned to when looking for vasculature. To help document procedures, the glasses allow nurses or doctors to record what they’re doing for upload to a PACS/EMR system, and so can be used in any situation when clinicians would like to film an interesting case.

Here’s more about the Eyes-On glasses:

Evena Eyes-On Glasses System

Fuente: MedGadget

Diseño de una cabina de helicóptero para servicios médicos de emergencia

Diseño de una cabina de helicóptero para servicios médicos de emergencia

by TILO FEBRES-CORDERO on nov 15, 2012 • 9:36 am

Fuente medgadget

El diseño del espacio limitado en una cabina de helicóptero debe ser eficiente y facilitar el acceso a los monitores y otros dispositivos médicos. Thomas Weig y Prueckner Stephan son dos médicos de alto nivel en el departamento de anestesiología de la Universidad Ludwig-Maximilians-Universität en Munich y ambos trabajan como médicos de la medicina del aire en DRF Luftrettung en Filderstadt, Alemania. Junto con un graduado del departamento de diseño industrial en Weissensee Kunsthochschule en Berlín, analizaron los procesos de trabajo y el flujo de trabajo que se sucede en la cabina del helicóptero cuando está en el aire, y publicaron sus resultados a principios de este mes en el Air Medical Journal. 

Su análisis se basó en un registro de vídeo con 4 cámaras durante las misiones, entrevistas estructuradas de la tripulación después de completarse las misiones, y el análisis de la documentación del vídeo con las fotografías obtenidas. Para este proyecto se utilizó un Eurocopter EC 145, un helicóptero bimotor de tamaño mediano. Esta es una máquina regular utilizada principalmente para la transferencia interhospitalaria o para los servicios médicos de emergencia. El interior del helicóptero fue desarrollado por Aerolite AG, Ennetbürgen, Suiza.

Uno de los cuellos de botella que identificaron parece ser la carga y descarga de los pacientes mientras están conectados a los monitores y con líneas de infusión intravenosa. Otros estudios anteriores también sugieren muchas desconexiones programadas o accidentales durante la carga y descarga de los pacientes.

Con respecto a estos resultados, el nuevo concepto de diseño se centra en 2 puntos principales: el uso práctico e intuitivo del monitor y la máxima seguridad y comodidad para el paciente durante su carga y descarga. Se construyo una maqueta a escala y se instaló en un EC 145 vacío para comprobar la viabilidad.

El último concepto funciona como un cajón: los dispositivos médicos están montados en un carril guía y están conectados a una distancia fija con la camilla de transporte. Todo esto entra con el paciente al helicóptero. Los dispositivos de monitorización de pacientes utilizan conexiones inalámbricas y son completamente desconectables. Este concepto de diseño final integra una mejor comodidad y seguridad para el paciente y el personal.

Article in Air Medical Journal: Helicopter Cabin Design for Emergency Medical Services and Interhospital Transfer

Artículo traducido por: Tilo Febres-Cordero
tilofc@medgadget.es

Servicio Navarro de Salud Helicóptero Sanitario

Mobisante’s MobiUS Smartphone Ultrasound

Mobisante’s MobiUS Smartphone Ultrasound  

Cellphones have come a long way with the rise of the smartphone. What used to be simply a means of making phone calls remotely, now is the way by which we can send emails, text messages, photos, and…acquire fetal images!
You can thank Redmond, Washington-based Mobisante for that last one, because it has announced that its MobiUS ultrasound imaging system has received FDA approval to be marketed in the United States.
MobiUS is the world’s first smartphone-based commercial ultrasound system. It consists of an ultrasound probe and a Toshiba Windows Mobile-powered smartphone with Mobisante’s software on it. Since the system is based on smartphones, it is extremely portable and very affordable compared to traditional ultrasound systems. In addition, it can utilize the cellular network and Wi-Fi capabilities of the smartphone to send images remotely.
Mobisante hopes to get their portable ultrasound systems into remote villages and rural hospitals where resources are limited, population density is lower, and medical assistance is not as easily accessible. Although if things continue to progress well for Mobisante and portable ultrasound technology as a whole, we may soon find expectant moms uploading fetal pictures of their bundle of joy to their Facebook newsfeeds. Thanks to Tom Cruise, only if they live outside of California, of course.
Press release: World’s first smartphone-based ultrasound imaging system cleared by the FDA… (.pdf)
Company page: Mobisante …
Flashbacks: The Signos, Self Contained Handheld Ultrasound Gains FDA Approval; Mobile Clinical Imaging On a Smart Phone
(hat tip: Engadget)

Mobisante’s MobiUS Smartphone Ultrasound 

Medgadget

Sistema óptico no invasivo C8 para monitorizar la glucosa

Sistema óptico no invasivo C8 para monitorizar la glucosa

Sistema óptico no invasivo C8 para monitorizar la glucosa aprobado para su comercialización en Europa (VIDEO)

by TILO FEBRES-CORDERO on oct 30, 2012 • 2:09 pm

C8 MediSensors, una compañía de San Jose, California, puede estar haciendo un poco historia al recibir la marca CE europea para su sistema óptico de monitarización de la glucosa. El sensor de la empresa utiliza la espectroscopia Raman para detectar la glucosa en sangre de manera no invasiva, utilizando el resplandor de la luz a través de la piel y detectando los cambios en el espectro que regresa.

Una vez que el sensor se pega a la piel, envía a un teléfono inteligente lecturas regulares de manera inalámbrica y utilizando Bluetooth, resultando en un control estricto de la glicemia y alertas casi instantáneas cuando los niveles de glucosa se salen de los parámetros preestablecidos. Actualmente el sistema es compatible con los teléfonos Android y se espera que esté disponible el año que viene una aplicación iOS.

Desde la página del producto:

El monitor C8 MediSensors no requiere recalibración constante para mantener la precisión del sensor. Excepto para mediciones periódicas de referencia de la línea de base, no hay que pinchar los dedos constantemente para recalibrar este monitor. Cuando se remueve y se vuelve a colocar, el monitor vuelve a medir la glucosa – sin necesidad de recalibrar o de reemplazar el sensor.

Nuestra técnica implica dirigir una fuente de luz monocromática sobre la piel y detectar la luz dispersada. Los colores generados por la dispersión Raman son muy específicos de la estructura química exacta de las moléculas en la muestra. Las diferentes formas, tamaños, átomos y tipos de enlaces químicos de las moléculas generarán espectros de Raman únicos, una ‘huella’ Raman singular que puede utilizarse para leer y medir la glucosa de manera no invasiva.

Pagina oficial del producto 

C8 Non-Invasive Optical Glucose Monitor

C8 Non-Invasive Optical Glucose Monitor

C8 Non-Invasive Optical Glucose Monitor System Cleared for Sale in Europe (VIDEO)

by GENE OSTROVSKY on Oct 30, 2012 • 2:09 pm

C8 MediSensors, a San Jose, California company, maybe making a bit of history by  receiving the European CE Mark for their Optical Glucose Monitor System. The firm’s  sensor uses Raman spectroscopy to non-invasively detect glucose in blood by shining light through the skin and detecting changes in the returning spectrum.

Once the sensor is attached to the skin it sends out regular readings wirelessly over Bluetooth to a smartphone, allowing for tight glycemic control and near instant alerts when glucose levels go outside preset parameters. It’s currently compatible with Android phones and an iOS app is expected to be available next year.

From the product page:

The C8 MediSensors monitor does not require constant recalibration to maintain sensor accuracy. Except for periodic baseline reference measurements, there is no need for ongoing finger sticks to constantly recalibrate the C8 MediSensors monitor. After being removed and put back on, the monitor will resume measuring glucose – no recalibration or sensor replacement required.

Our technique involves shining a monochromatic light source into the skin and detecting the scattered light. The colors generated by Raman scattering are very specific to the exact chemical structure of the molecules in the sample. The molecules’ various shapes, sizes, atoms, and types of chemical bonds will generate unique Raman spectra, a unique Raman “fingerprint” that can be used to non-invasively read and measure glucose.

Official Web