ABSTRACT
In this article, we discuss the relationship between hemorrhagic shock and the pathophysiology of shock using conventional tourniquets. We will focus on corollary benefits with the use of HemaClear(®), a self-contained, sterile, exsanguinating auto-transfusion tourniquet. This discussion will demonstrate that the use of auto-transfusion tourniquets is a practical evidence-based approach in fluid resuscitation: it shortens the duration of shock after hemorrhage and trauma compared with conventional tourniquets. Emphasis is placed on the use of the HemaClear(®) as an alternative fluid resuscitation tool which is more efficient in the battlefield, pre-hospital and in-hospital settings.
ABSTRACT
Beginning early in the 20th century, a group of North American leaders in obstetrics and gynecology met annually to promote the furtherance of the specialty. The American Gynecological Club held its meetings at academic medical centers, spending 2 to 4 days viewing the latest diagnostic and operative techniques and hearing presentations by investigators at that institution. On several occasions, club members spent 1 month visiting the foremost medical centers in Great Britain and continental Europe, where they observed surgical procedures, attended clinics, and established friendships that transcended national boundaries. The early years of the American Gynecological Club represent a somewhat idyllic and bygone era in medicine and obstetrics and gynecology.