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Innovations in Hemorrhage Control Method | Inside the World of Tactical Medicine Condition | Podcast


Step into the vanguard of battlefield medicine with Dr. John M. Croushorn, an engineer-turned-emergency physician whose innovations are redefining trauma treatment. From his pivotal career switch of joining Army Medicine post-9/11 to creating the Abdominal Aortic Junctional Tourniquet (AAJT-S), this episode weaves together the personal and the technical, providing an intimate look at the challenges and triumphs of military medicine.

As we converse with Dr. Croushorn, you'll be transported to the front lines of tactical emergency medical solutions, where the origins of such practices in the military and law enforcement laid the groundwork for today's life-saving techniques. Discover the birth of the AAJT-S, spurred by tragedy and necessity, and how a chance encounter with a Special Forces Medic brought the device's development full circle. This narrative captures the essence of innovation - where creativity meets critical needs, and every step in the design process can mean the difference between life and death. The trenches of tactical medicine are filled with stories of lives saved and legacies forged, and each tale tightens the bond between trauma care advancements and those who stand ready at the front lines.

Dr. Croushorn continues to pull back the curtain on the dynamic field of military medicine, guiding us through the application of junctional tourniquets and their profound impact on saving lives in pre-hospital scenarios. We'll also cast an eye to the future, examining ongoing research and the global implications of these medical advancements. Hear tales of the AAJT-S's deployment in diverse environments, from the deserts of the Middle East to the conflict in Ukraine, and learn how this technology is not just a tool but a testament to human resilience and the relentless pursuit of advancing trauma treatment.

Take Home Messages:
1. The tragic events of 9/11 inspired a shift in career from electrical engineering to Military Medicine, highlighting the profound impact significant historical events can have on individual life choices.
   
2. The development of the Abdominal Aortic Junctional Tourniquet (AAJT-S) marked a significant advancement in pre-hospital trauma care, particularly for severe hemorrhage control in areas where traditional tourniquets are ineffective.

3. Innovation in military medical devices can stem from unexpected places, including the adaptation of materials like bike shop inner tubes, demonstrating resourcefulness in the face of challenges.

4. Collaboration between medical professionals and those with hands-on battlefield experience, such as Special Forces Medics, is crucial for the practical development of life-saving medical technologies.

5. Tactical emergency medical solutions, like the AAJT-S, have evolved to meet the specific needs of military and emergency response situations, including combat scenarios and disaster relief efforts.

6. The versatility of junctional tourniquets makes them a critical tool not only for the military but also for civilian emergency services, as evidenced by their use by air ambulance services and fire departments.

7. Emergency Medicine is continually advancing, with a focus on developing solutions for non-compressible torso hemorrhage, which presents new challenges in the field of trauma care.

8. Groundbreaking research into the physiologic effects of medical devices in traumatic cardiac arrest scenarios is paving the way for updated emergency protocols and potentially higher survival rates.

9. The global impact of military medical innovations can be seen in various international settings, including conflict zones like Ukraine, where they play a vital role in saving lives on the battlefield.

10. Effective hemorrhage control, particularly in junctional areas, is essential for improving survival rates in trauma patients, emphasizing the importance of continuous innovation and application of medical devices in pre-hospital settings. 

Abdominal Aortic Junctional Tourniquet - Stabilized (AAJTS) can be applied both successfully and rapidly by Combat Medical Technicians (CMTs)

Background: 'Non-compressible' haemorrhage is the leading cause of preventable battlefield death, often requiring surgical or radiological intervention, which is precluded in the pre-hospital environment. One-fifth of such bleeds are junctional and therefore potentially survivable.

Compression Works Continues Humanitarian Support with Leleka Foundation to Save Lives in Ukraine

 

Compression Works teams up with Leleka Foundation to provide critical medical supplies, aiming to make a lifesaving difference amid ongoing conflict in Ukraine.

Revolutionizing Hemorrhage Control: Compression Works Showcases Life-Saving Device at SOMA 2023

May 11, 2023 – Birmingham, AL - Compression Works Inc., the medical device company that developed the Abdominal Aortic and Junctional Tourniquet - Stabilized (AAJT-S), is proud to announce that it will be showcasing their life-saving technology and leading lab training programs at the prestigious Special Operations Medical Association (SOMA) conference. The aim of this event is to educate attendees about AAJT-S's multi-functional benefits.

SOMA is the leading professional organization that focuses on enhancing the knowledge, experience, skills, and wisdom of current and future Special Operations and Tactical providers.

Compression Works Finalizes $2 M Seed-Growth Round Creating Over-subscription Opportunity to Expand Availability of Life-Saving Technology

April 11, 2023 – Birmingham, AL Compression Works, Inc., a medical device company and manufacturer of the Abdominal Aortic & Junctional Tourniquet – Stabilized (AAJT-S), announces the completion of their $2 million seed-growth round and continued strong interest in filling out a board approved over-subscription along with the recent investment by the North Texas Angel Network (NTAN) this past week.

Compression Works Life-Saving Tourniquet Presented at The Western Trauma Association Meeting

Birmingham AL, March 30, 2023, Compression Works Inc., a medical device company focused on hemorrhage control and pelvic stabilization, announced a presentation highlighting the Abdominal Aortic and Junctional Tourniquet – Stabilized (AAJT-S) at the recent Western Trauma Association (WTA) Meeting in Alberta, Canada.

Compression Works Partners with Mission to the World to Provide Life-saving Medical Equipment to Ukraine

Birmingham AL, March 23, 2023, Compression Works, Inc., a company dedicated to manufacturing hemorrhage control medical devices for military and first responder markets around the world, has partnered with Mission to The World (MTW) and their relief effort at Crates for Ukraine, a humanitarian relief operation to supply life-saving medical supplies to the war-torn region.

Compression Works Receives Additional 510(k) Clearance from the FDA for the AAJT-S Life-Saving Junctional Tourniquet

Birmingham AL, March 7, 2023, Compression Works, Inc. manufacturer of the Abdominal Aortic and Junctional Tourniquet-Stabilized (AAJT-S) device, announces a new 510(k) clearance from the FDA. This is the third 510(k) clearance granted by the U.S. Food and Drug Administration (FDA) for the AAJT-S technology.

Compression Works Announces New Director of Training Bob Huebner

Birmingham AL, February 28, 2023 - Compression Works, Inc., a medical device company and manufacturer of the Abdominal Aortic & Junctional Tourniquet – Stabilized (AAJT-S) for the treatment of non-compressible hemorrhages in the global EMS and Military markets, announced they had named Bob Huebner as the company’s new National Director of Training.

Compression Works Announces Scott Garrett as Chief Operating Officer

Birmingham AL, July 14, 2022, Compression Works Inc., the medical device company that created the Abdominal Aortic and Junctional Tourniquet – Stabilized (AAJT-S) for the treatment of non-compressible hemorrhages in the global EMS and military markets, welcomes Scott Garrett as its new Chief Operating Officer.

Medical Device Startup Raising $2M for ‘Swiss Army Knife’ of Tourniquets

Dallas TX, May 18, 2022, Compression Works is in the middle of raising a $2 million convertible note, of which Dodson said it has closed about 75%. With the new funding, the company will be bringing on new team members to expand its production capabilities and find new clients in the field.

Comprehensive Scientific Study Demonstrates Compression Works' AAJT-S Device Useful in Traumatic Cardiac Arrest and Non-Compressible Truncal Hemorrhage Patients

Birmingham AL, May 03, 2022, Compression Works, creators of the Abdominal Aortic and Junctional Tourniquet-Stabilized (AAJT-S) device, announces the publication of a new trauma review article in the Annals of Emergency Medicine, “External Aortic Compression in Noncompressible Truncal Hemorrhage and Traumatic Cardiac Arrest: A Scoping Review.” The study examines aortic compression as it relates to non-compressible truncal hemorrhage and traumatic cardiac arrest subjects.

Compression Works Rushing Unique Life-Saving Tourniquets to Ukraine

Birmingham AL, April 04, 2022, Compression Works, Inc. maker of the Abdominal Aortic and Junctional Tourniquet-Stabilized (AAJT-S) device, announces a relief effort to support the people of Ukraine with its life-saving hemorrhage control solution. The AAJT-S devices are intended to help warfighters and civilians who have been injured as a result of the Russia invasion.

Compression Works Increases EMS Market Distribution Capabilities Across the United States

Birmingham AL, December 20, 2021, Compression Works, creators of the life-saving Abdominal Aortic and Junctional Tourniquet-Stabilized (AAJT-S) device, has dramatically increased their pre-hospital EMS distribution capabilities across the United States.

CoTCCC Includes The AAJT-S By Compression Works For Junctional Hemorrhage Use

The AAJT-S is cleared by the FDA, CE marked for sale outside of the U.S., meets the CoTCCC criteria, and has been vetted, studied and published by the Institute for Surgical Research (ISR) and the 59th Med Wing of the U.S. Air Force researchers in San Antonio, Texas. The Compression Works device is also featured in over 64 peer reviewed publications in the literature. 

Life-saving Battlefield Tourniquet Approved For Use By Alabama First-Responders

The Abdominal Aortic and Junctional Tourniquet–Stabilized (AAJT-S) that treats both pelvic hemorrhage and severe bilateral lower junctional hemorrhage has been approved for use by paramedics and other first-responders in Alabama.

Complications Of The Abdominal Aortic And Junctional Tourniquet–Stabilized: What The Research Says

Tactical medics worldwide use the Abdominal Aortic and Junctional Tourniquet–Stabilized (AAJT-S) to control hemorrhage from armpit, groin and pelvic injuries.

Increasing Number Of Alabama Law Enforcement Agencies Deploying New Veteran Developed Life- Saving Technology

The AAJT-S continues to be the only junctional and true truncal tourniquet to have saved life in upper and lower junctional hemorrhage.

Stopping Hemorrhage By Aortic Compression

Noncompressible torso hemorrhage is recognized as the leading cause of death in trauma, but definitive hemorrhage control has been challenging.

Ingenious Tourniquet Invention Saves Lives

Croushorn’s fanny pack-like tourniquet (which won a 2012 Popular Science invention award) received FDA approval in 2011 and saved its first two lives this summer.

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