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Tourniquet Maximum Duration — FRCA Final MCQ

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ModerateTrauma & Emergency AnaesthesiaTourniquet Maximum DurationFRCA Final

Isolated GSW right thigh, arterial bleeding. Tourniquet applied in field. Maximum recommended tourniquet time?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C2 hours

Evidence supports up to 2 hours with acceptable limb salvage. Beyond 2h: significant irreversible ischaemia risk. Don't remove pre-hospital — convert to definitive haemostasis surgically. Document application time.

Reference: ATLS – 2018 – Haemorrhage control; RCEM – 2023 – Tourniquet guidelines