Clinical Case Summary
An adult patient developed an uncontrolled abdominal hemorrhage during an outpatient procedure. Rogers Fire Department was able to stabilize her on scene with the AAJT-S.
Location: Rogers, Arkansas
Provider: Rogers Fire Department
Setting: EMS · Fire department
Application site: Abdomen
Case ID: US-26-08
Synopsis
- Outpatient Surgery Complication
- Adult patient
- Uncontrolled abdominal bleeding
- Cauterization & wound packing (unsuccessful)
- 2.5L of crystalloid fluid resuscitation
- ROGERS FIRE ARRIVES
- AAJTS Applied to Abdomen
- Mercy Hospital was contacted in route
- Surgical team and blood requested to be on standby for EMS arrival
- Vitals stabilized
- Delivered hemodynamically stable patient to trauma center
- Definitive surgery completed
- Patient neurologically intact
“I am grateful that Compression Works put a device in our hands that made a difference in someone’s life.”
— Lance Loyer · Rogers Fire Department, Arkansas
A routine outpatient abdominal procedure escalated into a life-threatening hemorrhagic emergency when an adult patient developed uncontrolled abdominal hemorrhage that could not be stopped with standard surgical techniques.
Rogers Fire Department EMS in Rogers, Arkansas responded to an outpatient surgical center for a report of uncontrolled abdominal hemorrhage during a minor abdominal procedure. During the procedure, the surgeon was unable to achieve hemostasis using cauterization, wound packing, or direct pressure.
Staff reported the patient had received approximately 2.5 liters of crystalloid fluid for volume resuscitation. Pain management and procedural sedation had been administered by the outpatient surgical team prior to EMS arrival.
Upon Rogers Fire’s arrival, the patient presented with uncontrolled bleeding from the abdomen. The paramedics staged the AAJT-S (Abdominal Aortic and Junctional Tourniquet – Stabilized) on the stretcher, moved the patient from the surgical table to the stretcher, and secured the AAJT-S at the abdomen, controlling the bleeding. The patient’s condition began to improve with vitals stabilizing.
The EMS crew requested a surgical team and blood products on standby at Mercy Rogers and transported the patient directly to the trauma center — where both were ready on arrival.
The patient was transported to definitive surgical care and underwent emergency surgery. The patient ultimately survived and was discharged home neurologically intact following full recovery.
Clinical Significance: The AAJT-S® provided effective external abdominal aortic compression in the prehospital setting. This intervention created a critical bridge to definitive surgical care by stabilizing the patient, controlling hemorrhage, and enabling safe transport to a trauma-ready facility.
