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| 1 | Combat lifesaver-trained, first-responder application of junctional tourniquets: A prospective, randomized,crossover trial显示文摘Background:Junctional hemorrhage surpassed extremity hemorrhage as the leading cause of preventable death after the resurgence of limb tourniquets during the recent conflicts in Afghanistan and Iraq.Junctional tourniquets(JTQs)were developed in response to this injury pattern.Published data for JTQ efficacy are limited and do not incorporate nonmedical,military first responders.We compared the time for effective placement and scores for device satisfaction between two different JTQs,stratified by combat lifesaver(CLS)and combat medics.Methods:We performed a prospective,randomized,crossover trial utilizing the SAM ’ Medical Junctional Tourniquet(SJT)and Junctional Emergency Treatment Tool(JETTTM).Investigators simple randomized CLS and combat medics to SJT or JETT for their first JTQ application on mannequins with penetrating inguinal injuries.Then,participants immediately placed the other JTQ on another casualty with the same injury.The primary outcome measured was time of successful applicatio n.Success was defined as proper JTQ placement and a pressu re reading of at least 180 mmHg.We compared outcomes between CLS and combat medics.Unsuccessful JTQ applications were excluded from the comparative analysis.Results:From June 2015 to August 2015,a total of 227 personnel(133 CLS and 94 combat medics)at Fort Hood,Texas,USA volunteered to participate in the study.Twenty-eight percent(38 of 133)of CLS and 40%(38 of 94)of combat medics placed both JTQs successfully,for a total of 152 applications(76 SJTs and 76 JETTs).We found a significant difference between applications of the JETT between the CLS and combat medics(92.0±37.7 s versus70.5±20.5 s,P=0.004).No other subg roup analyses,whether by device or user,demonstrated a sig nifica nt difference in application time.Both groups preferred the SJT over the JETT.CLS disagreed with combat medics that the JETT could be easily applied by one person(median 3.0[2.0,4.0]versus median 4.0[3.0,5.0];P=0.006).Conclusions:Overall,success rates for both the SJT and JETT were low.Improved training is needed to increase successful application of junctional tourniquets before widespread implementation.Combat lifesavers and combat medics prefer the SJT over the JETT. | Ismael Flecha Jason FNaylor Steven GSchauer Ryan ACurtis Cord WCunningham | 2019 | Military Medical Research2019，6，2： | 3 |
| 2 | Is surgical root coverage effective for the treatment of cervical dentin hy- persensitivity A systematic review 显示文摘 | Douglas de Oliveira D W Oliveira-Ferreira F Flecha 0 D | 2013 | Journal of pefiodontology2013，84，3： | 1 |
| 3 | Oxidant mechanisms in response to ambient air particles 显示文摘 | Gonzalez- Flecha B | 2004 | Molecular Aspects of Medicine2004，25，12： | 1 |
| 4 | The effect of daily ingestion of 100 mg iodine combined with high Doses of vitamins B2 and B3(ATP Cofactors)in five subjects with fibromyalgia显示文摘 | Abraham G E Flechas J E | 2008 | The Original Internist2008，15，1： | 1 |
| 5 | Reactive oxygen species in pulmonary inflammation by ambient particulates显示文摘 | Tao F Gonzalez Flecha B Kobzik L | 2003 | Free Radical Biology & Medicine2003，25，4： | 1 |
| 6 | Mitogen‐activated protein kinases modulate H2O2‐induced apoptosis in primary rat alveolar epithelial cells显示文摘 | HelotonioCarvalho PabloEvelson SamuelSigaud BeatrizGonzález‐Flecha | 2004 | J. Cell. Biochem2004，，3： | 1 |
| 7 | Reversible fast-dimerization of bovine serum albumin detected by fluorescence resonance energy transfer显示文摘 | Levi V Flecha F L G | 2002 | Biochimica et Biophysica Acta2002，1599，： | 1 |
| 8 | Hydroperoxide- initiated chemiluminescence:An assay for oxidative stress in biopsies of heart,liver,and muscle 显示文摘 | Gonzalez Flecha B Llesuy S Boveris A | 1991 | Free Radical Biology and Medicine1991，10，2： | 1 |
| 9 | Decreased Ca^2+-ATPase activity after glycosylation of erythrocyte membranes in vivo and in vitro显示文摘 | Flecha F L Bermudez M C Cedola N V | 1990 | Diabetes1990，39，6： | 1 |
| 10 | Characterization of Tako-tsubo Cardiomyopathy in Spain: Results from the RETAKO National Registry显示文摘 | Iván J. Nú?ez Gil Mireia Andrés Manuel Almendro Delia Alessandro Sionis Ana Martín Teresa Bastante Juan Gabriel Córdoba Soriano José A. Linares Vicente Silvia González Sucarrats Alejandro Sánchez-Grande Flecha | 2014 | Revista Espa?ola de Cardiología (English Edition)2014，，： | 1 |
| 11 | 带来希望和喜悦的真实人生显示文摘提摩西·尼雄在与妈妈还有两个姐妹同住的简朴公寓里,显得很有存在感。在不久之前的一天傍晚,他们公寓那个小巧的起居室里,充盈着这名14岁男孩的声音和欢乐情绪,他不停地述说着他学到的东西。他的姐妹们坐在一张小桌边,一边听他说话,一边感受他发散出的欢乐气氛。 | Joey Flechas 陈信宏(译) | 2020 | 空中英语教室(高级版.彭蒙惠英语)2020，，7： | 0 |
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