If Direct Pressure Fails: Evidence for the Use Tourniquets to Control External Bleeding in the Pre-Hospital Setting.


If Direct Pressure Fails: Evidence for the Use Tourniquets to Control External Bleeding in the Pre-Hospital Setting.


$15 for NATA members/ $25 for non-members


Wednesday, November 6, 2013


3:45 – 5:00 pm CST




Berry, David, PhD, AT, ATC, ATRIC
Saginaw Valley State University, University Center, MI


Dr. David C. Berry is a licensed athletic trainer with 20 years of experience in clinical-based practice and in higher education. Dr. Berry is an associate professor of Kinesiology at Saginaw Valley State University, teaching courses related athletic injury assessment, therapeutic modalities, emergency trauma management and emergency cardiac care. He has published, lectured and developed workshops at regional, state, and national levels on a variety of topics including, emergency trauma management, aquatic therapy, clinical education and game-based learning in higher education. He has co-authored several textbooks one on entitled Emergency Reponses Management for Athletics. He currently serves as the Teaching and Learning Column Editor of the Athletic Training Education Journal. Dr. Berry is an active member of theBoard of Certification (Omaha, NE) and the American Red Cross serving as a member of the Scientific Advisory Council.He earned his bachelor’s degree in Health Education, his master’s degrees in Teaching and Physical Education/Athletic Training from Sacred Heart University and Western Michigan University and his doctorate in Curriculum and Instruction from Ohio University.


Direct pressure is an effective means for controlling external bleeding. Evidence suggests that tourniquets are however a practical options when direct pressure failsor is impossible to perform. The Red Cross and National Registry of EMT have endorsed the use tourniquets in the prehospital setting as a method to control severe bleeding. The athletic training educational competencies specifically mention tourniquets to control bleeding. As prehospital care providers, ATs should be offered the opportunity to be presented with the science and then be allowed to make their own informed decisions as to the values of such skills.

Clinical Objectives:

At the conclusion of this presentation, the learner will be able to:

  • identify and discuss the most current evidence for the use of tourniquets agents in the prehospital setting.
  • identify the role, characteristics, indications, contraindications and precautions for using tourniquets in the prehospital setting.
  • identity and discuss the application procedures for the use of tourniquets in the prehospital setting.

Athletic Training Domain:

Immediate and Emergency Care

Course Level:


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