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John Holcomb
Trauma surgeon and expert in combat casualty care with extensive experience in military and civilian trauma systems, contributing clinical insight on tourniquet management and ischemia-reperfusion injury.
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Oct 27, 2025
• 35min
PFC Podcast 252: Prolonged Tourniquet Conversion
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Dr. John Holcomb, a trauma surgeon and expert in combat casualty care, joins the discussion to delve into prolonged tourniquet use and its complications. They explore ischemia-reperfusion injury, emphasizing the significance of assessing limb viability through the four C's: color, consistency, contractility, and capillary refill. Holcomb highlights the risks of compartment syndrome and the critical role of training medics in tourniquet conversion to prevent amputations, while also discussing varying battlefield conditions and the need for continuous reassessment in trauma scenarios.
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