The 50 original articles included in this qualitative , systematic review revealed that the recommendations " Tourniquet " of the DGAI published in 2016 are mostly still up to date despite an inhomogeneous study situation .
INTRODUCTION The effectiveness of a  tourniquet  in the case of life-threatening hemorrhages of the extremities is well recognized and led to the recommendations on " Tourniquet " of the German Society of Anaesthesiology and Intensive Care ( DGAI ) in 2016 .
The aim of this systematic review was to re-evaluate the current medical literature in relation to the published DGAI recommendations .
A comparison of live tissue training and high-fidelity patient simulator: A pilot study in battlefield trauma training
BACKGROUND Trauma procedural and management skills are often learned on live tissue . However , there is increasing pressure to use simulators because their fidelity improves and as ethical concerns increase . We r and omized military medical technicians ( medics ) to training on either simulators or live tissue to learn combat casualty care skills to determine if the choice of modality was associated with differences in skill uptake . METHODS Twenty medics were r and omized to trauma training using either simulators or live tissue .  Medics were trained to perform five combat casualty care tasks ( surgical airway , needle decompression , tourniquet application , wound packing , and intraosseous line insertion ) . We measured skill uptake using a structured assessment tool . The medics also completed exit question naires and interviews to determine which modality they preferred . RESULTS We found no difference between groups trained with live tissue versus simulators in how they completed each combat casualty care skill . However , we did find that the modality of assessment affected the assessment score . Finally , we found that medics preferred trauma training on live tissue because of the fidelity of tissue h and ling in live tissue models . However , they also felt that training on simulators also provided additional training value . CONCLUSION We found no difference in performance between medics trained on simulators versus live tissue models . Even so , medics preferred live tissue training over simulation . However , more studies are required , and future studies need to address the measurement bias of measuring outcomes in the same model on which the study participants are trained . LEVEL OF EVIDENCE Therapeutic/care management study , level II
The 50 original articles included in this qualitative , systematic review revealed that the recommendations " Tourniquet " of the DGAI published in 2016 are mostly still up to date despite an inhomogeneous study situation .
INTRODUCTION The effectiveness of a  tourniquet  in the case of life-threatening hemorrhages of the extremities is well recognized and led to the recommendations on " Tourniquet " of the German Society of Anaesthesiology and Intensive Care ( DGAI ) in 2016 .
The aim of this systematic review was to re-evaluate the current medical literature in relation to the published DGAI recommendations .