A “human-proof pointy-end”: a robotically applied hemostatic clamp for care-under-fire.

Journal: Canadian journal of surgery. Journal canadien de chirurgie
Published Date: Dec 1, 2019

Abstract

Providing the earliest hemorrhage control is now recognized as a shared responsibility of all members of society, including both the lay public and professionals, consistent with the Stop the Bleed campaign. However, providing early hemorrhage control in a hostile environment, such as the scene of a mass shooting, is extremely challenging. In such settings, the first access to a bleeding victim may be robotic. An all-purpose bomb robot was thus retrofitted with a commercial, off-the-shelf wound clamp and successfully applied to an extremity exsanguination simulator as a demonstration of remote robotic hemorrhage control. As this method can potentially control extremity hemorrhage, further development of the techniques, equipment and, most importantly, the guidelines and rules of engagement should continue. We suggest that in order to minimize the loss of life during an active shooter incident, the armamentarium of prehospital medical resources may be extended to include law-enforcement robots.

Authors

  • Ian A. McKee
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Jessica L. McKee
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Brian E. Knudsen
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Ryan Shelton
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Tony LaPorta
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Juan Wachs
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).
  • Andrew W. Kirkpatrick
    From the City of Edmonton, Fire Rescue, Edmonton, AB (McKee); the Tele-Mentored Ultrasound Supported Medical Interventions (TMUSMI) Research Group Collaborators (add city) (McKee, LaPorta, Wachs, Kirkpatrick); the Regional Trauma Services Foothills Medical Centre, Calgary, AB (McKee, Kirkpatrick); the Canadian Forces Health Services (add city) (McKee); the Arapahoe County Sheriff’s Office, Denver, Colorado, USA (Knudsen); the Denver South Medic Fire Rescue, Denver, Colorado (Shelton); the Rocky Vista University, Rocky Vista, Colorado (LaPorta); the James Purdue University, West Lafayette, Indiana (Wachs); the Department of Surgery, University of Calgary, Calgary, AB (Kirkpatrick); and the Department of Critical Care Medicine, University of Calgary, Calgary, AB (Kirkpatrick).

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