Who we are

Compression Works is the developer and manufacturer of the AAJT-S, the abdominal and aortic junctional tourniquet – stabilized. We offer the world’s only multi-functional life saving tourniquet for application in the axilla, on the abdomen, in the inguinal region and for control of junctional and pelvic bleeding as well as pelvic fracture stabilization and aortic compression proven to be equivalent to Zone 3 REBOA. With over 50 peer- reviewed publications, the AAJT-S is the most studied device in its class and the only device to have saved life in both upper and lower junctional bleeding.

OUR MISSION

To stop non-compressible hemorrhages wherever they occur and save lives with easy to use technology.

HEMORRHAGE STOPS HERE™

INSTRUCTIONS FOR USE

PLACEMENT:
Indication bleeding in:

1. Secure device around:
Connect ladder strap until RED MEETS RED
2. Position bladder over:
3. Tighten belt-remove all slack
4. Use ratcheting buckle To complete tightening
5. Inflate bladder until green indicator shows

CLINICAL ARTICLES

1. Riley, D. P., and R. W. Burgess. External Abdominal Aortic Compression: A Study of a Resuscitation Manoeuvre for Postpartum Haemorrhage.” Anaesthesia and Intensive Care, vol. 22, no. 5, Oct. 1994, pp. 571–575.

2. Riley, D. P.; Burgess, R. W. External Abdominal Aortic Compression: A Study of a Resuscitation Manoeuvre for Postpartum Haemorrhage, Obstetrical & Gynecological Survey June 1995 – Volume 50 – Issue 6 – p 426-427

3. Blaivas, Michael, et al. Control of Hemorrhage in Critical Femoral or Inguinal Penetrating Wounds—An Ultrasound Evaluation.” Prehospital and Disaster Medicine, vol. 21, no. 06, 2006, pp. 379–382.

4. Greenfield, E.m., et al. Safety and Efficacy of a Novel Abdominal Aortic Tourniquet Device for the Control of Pelvic and Lower Extremity Hemorrhage.” Annals of Emergency Medicine, vol. 54, no. 3, 2009, doi:10.1016/j.annemergmed.2009.06.230.

5. Lyon, M., et al. “Use of the Abdominal Aortic Tourniquet to Reduce or Eliminate Flow in the Common Femoral Artery in Human Subjects.” Annals of Emergency Medicine, vol. 58, no. 4, 2011.

6. Parker, Paul Trauma Working Group: Consensus statement on decision making in junctional trauma care. J R Amry Med Corps 2011, 157 (3 Suppl 1): S293-5

7. Lyon, M., et al. “Use of a novel abdominal aortic tourniquet to reduce or Eeiminate flow in the common femoral artery in human subjects. J Trauma Acute Care Surg 2012; 73(2 Suppl) S103-2

8. Kragh JF Jr, Dubick MA, Aden JK 3rd, et al. U.s. Military experience with junctional wounds in war from 2001 to 2010. Journal of Special Operations Medicine. 2013 ;13(4):76-84.

9. Taylor, David M., et al. The Evaluation of an Abdominal Aortic Tourniquet for the Control of Pelvic and Lower Limb Hemorrhage. Military Medicine, vol. 178, no. 11, 2013, pp. 1196–1201.

10. Kragh, John F., et al., U.S. Military Experience with Junctional Wounds in War from 2001 to 2010. Journal of Special Operations Medicine, Vol 13, Edition 4, Winter 2013, pp 76-84

11. “Abdominal Aortic Tourniquet use in Afghanistan Journal of Special Operations Medicine, Vol 13, Edition 2, Summer 2013, pp 1-2

12. Croushorn, J and Calloway, D, Abdominal Aortic Tourniquet use in Afghanistan Journal of Special Operations Medicine, Vol 13, Edition 2, Summer 2013, p 3

13. Croushorn, J et al., Abdominal Aortic Tourniquet Controls Junctional Hemorrhage From a Gunshot Wound of the Axilla. Journal of Special Operations Medicine, Vol 13, Edition 3, Fall 2013, pp 1-4

14. Walker, N.M., et al., UK Combat-related pelvic junctional vascular injuries 2008-2011: Implications for future intervention Injury, Int. J. Care Injured, vol 45, 2014, pp 1589-1589

15. Lyon, Matthew, et al. Use of a Novel Abdominal Aortic and Junctional Tourniquet to Reduce or Eliminate Flow in the Brachial and Popliteal Arteries in Human Subjects. Prehospital Emergency Care, vol. 19, no. 3, 2014, pp. 405–408.

16. Mellick, Larry MD Breaking News: Saving Lives with Aortic Compression, Emergency Medicine New,: July 2014, Volume 36, Issue 7, pp. 1,26-26
17. Marcozzi, David, et al., A 2013-2014 Comparison of the potential benefit vs actual use of Junctional Tourniquets in a theater of operations Poster Presentation, MHSRS 2014

18. Croushorn, J et al., Abdominal Aortic and Junctional Tourniquet Controls Hemorrhage From a Gunshot Wound of the Left Groin. Journal of Special Operations Medicine, Vol 14, Edition 2, Summer 2014, pp 6-8

19. Douma, Matthew, et al. Temporization of Penetrating Abdominal-Pelvic Trauma With Manual External Aortic Compression: A Novel Case Report. Annals of Emergency Medicine, vol. 64, no. 1, 2014, pp. 79–81.

20. Gordon, R.d., and M. Lyon. Efficacy of the Abdominal Aortic Tourniquet Device for the Control of Axillary and Femoral Artery Blood Flow. Annals of Emergency Medicine, vol. 64, no. 4, 2014.

21. Junctional Tourniquets for Controlling Hemorrhage from Wounds in Adults: A Review of Clinical Effectiveness, Cost-Effectiveness, Safety, and Guidelines. Current Neurology and Neuroscience Reports., U.S. National Library of Medicine, 10 Apr. 2014, www.ncbi.nlm.nih.gov/books/NBK269192/

22. Kheirabadi, Bijan S., et al. Long-term effects of Combat Ready Clamp application to control junctional hemorrhage in swine. J Trauma Acute Care Surg, vol. 77, No. 3, Sup 2. 2014, pp. S101-S108

23. Douma, Matthew, and Peter George Brindley. Abdominal aortic and iliac artery compression following penetrating trauma: a study of feasibility. Prehospital and disaster medicine 29.3 (2014): 299.

24. Schwartz, Richard, et al. The Use of the Abdominal Aortic and Junctional Tourniquet vs Combat Gauze in a Porcine Hemicorporectomy Model Georgia Reagents University, Poster Presentation, 2014

25. Kragh, John F., et al. Testing of Junctional Tourniquets by Military Medics to Control Simulated Groin Hemorrhage Journal of Special Operations Medicine, Volume 14, Edition 3, Fall 2014, pp 58-63

26. Schwartz, Richard, et al. Letter to Editor RE: Testing of Junctional Tourniquets by Military Medics to Control Simulated Groin Hemorrhage. J Spec Oper Med 15.2 (2015): 94-95

27. Kragh, John F., et al., Junctional Tourniquet Training Experience Journal of Special Operations Medicine, Vol 15, Edition 3, Fall 2015, pp 20-30

28. van Oostendorp, S E et al. Prehospital control of life-threatening truncal and junctional haemorrhage is the ultimate challenge in optimizing trauma care; a review of treatment options and their applicability in the civilian trauma setting. Scandinavian journal of trauma, resuscitation and emergency medicine vol. 24,1 110. 13 Sep. 2016,

29. Chen, Jacob., et al. Testing of Junctional Tourniquets by Medics of the Israeli Defense Force in Control of Simulated Groin Hemorrhage Journal of Special Operations Medicine, Vol 16, Edition 1, Spring 2016, pp 36-42

30. Croushorn, John. Letter to the Editor related to Testing of Junctional Tourniquets by Medics of the Israeli Defense Force in Control of Simulated Groin Hemorrhage Journal of Special Operations Medicine, Volume 16, Edition 2, Summer 2016, p. 52

31. Kragh, John F., et al. Assessment of Groin Application of Junctional Tourniquets in a Manikin Model. Prehospital and Disaster Medicine, vol. 31, no. 04, 2016, pp. 358–363.

32. M.J. Douma et al., Bi-manual proximal external aortic compression after major abdominal-pelvic trauma and during ambulance transfer: A simulation study, Injury, Volume 48, Issue 1, 2017, Pages 26-31

33. Kragh JF Jr, Aden JK Rd, Shackelford S, Moore VK 3rd, Dubick MA. Assessment of Trainer Skill to Control Groin-Wound Bleeding: Use of Junctional Tourniquet Models on a Manikin. Journal of Special Operations Medicine. Summer 2017;17(2):39-48.

34. Kheirabadi, Bijan S., et al. Physiological Consequences of Abdominal Aortic and Junctional Tourniquet (AAJT) Application to Control Hemorrhage in a Swine Model. Shock, vol. 46, 2016, pp. 160–166.

35. Russ S. Kotwal et al., Junctional Hemorrhage Control for Tactical Combat Casualty Care, Wilderness & Environmental Medicine, Volume 28, Issue 2, Supplement, 2017,Pages S33-S38

36. Rall, Jason, et al., Hemodynamic effects of the Abdominal Aortic and Junctional Tourniquet in a hemorrhagic swine model Journal of Surgical Research, Vol 212, 15 May 2017, pp 159-166

37. Rall, Jason, et al. “The Use of the Abdominal Aortic and Junctional Tourniquet During Cardiopulmonary Resuscitation Following Traumatic Cardiac Arrest in Swine. Military Medicine, vol. 182, no. 9, 2017.

38. Smith, Shane, et al. The Effectiveness of Junctional Tourniquets: a Systematic Review and Metaanalysis. Journal of Trauma and Acute Care Surgery, 2018.

39. Douma, Matthew J., et al. Proximal external aortic compression for life-threatening Abdominal-Pelvic and junctional hemorrhage: an ultrasonographic study in adult volunteers. Prehospital Emergency Care, 2018, pp538-542.

40. Bonanno, AM & Ross, JD, Novel interventions for non-compressible torso hemorrhage: Secondary considerations in consequences of aortic occlusion, Journal of Endovascular Resuscitation and Trauma Management, 2018, vol. 2, no. 3, pp. 103-110

41. Brännström, Andreas MD; et al., Abdominal Aortic and Junctional Tourniquet release after 240 minutes is survivable and associated with small intestine and liver ischemia after porcine class II hemorrhage, Journal of Trauma and Acute Care Surgery, October 2018, Volume 85, Issue 4, pp 717-724

42. Pieper, Audrey MD et al., Resuscitative endovascular balloon occlusion of the aorta for pelvic blunt trauma and life-threatening hemorrhage: A 20-year experience in a Level I trauma center Journal of Trauma and Acute Care Surgery: March 2018 – Volume 84 – Issue 3 – p 449-453

43. Khan, Mansoor, et al. Novel Use for the Abdominal Tourniquet in the Management of Postpartum Haemorrhage. Journal of the Royal Army Medical Corps, vol. 164, no. 6, 2018, pp. 463–463.

44. Rall, Jason M., et al. Comparison of Zone 3 Resuscitative Endovascular Balloon Occlusion of the Aorta and the Abdominal Aortic and Junctional Tourniquet in a Model of Junctional Hemorrhage in Swine. Journal of Surgical Research, vol. 226, 2018, pp. 31–39.

45. Barnard, Ed & Smith, Jason. Non-compressible torso haemorrhage: the new holy grail for further improvement in trauma survival. Journal of the Royal Naval Medical Service. 2018, 104. pp. 107-114.

46. Do, Woo S. MD et al., Minimally invasive preperitoneal balloon tamponade and abdominal aortic junctional tourniquet versus open packing for pelvic fracture-associated hemorrhage: Not all extrinsic compression is equal, Journal of Trauma and Acute Care Surgery, April 2019, Volume 86, Issue 4, pp 625-634

47. Günther, Mattias MD, PhD; Brännström, Andreas MD Reply to letter: Kheirabadi et al. Long-term consequences of abdominal aortic and junctional tourniquet for hemorrhage control, Journal of Trauma and Acute Care Surgery: September 2019 – Volume 87 – Issue 3 – p 741

48. Jason Rall Et al. Evaluation of the Abdominal Aortic and Junctional Tourniquet as an Adjunct to Chest Compressions in a Swine Model of Out-Of-Hospital Cardiac Arrest, Circulation. 2019;140:A268

49. Kheirabadi, Bijan S. PhD; Dubick, Michael A. PhD Safe duration of Abdominal Aortic and Junctional Tourniquet application (editorial), Journal of Trauma and Acute Care Surgery, September 2019, Volume 87, Issue 3, p 740-741

50. Brännström, et al., Transition from abdominal aortic and junctional tourniquet to zone 3 resuscitative endovascular balloon occlusion of the aorta is feasible with hemodynamic support after porcine class IV hemorrhage, Journal of Trauma and Acute Care Surgery, October 2019, Volume 87, Issue 4, pp 849-855

51. Paix, B. Et al., Prehospital External Aortic Compression for Temporizing Exsanguinating Sub-Diaphragmatic Hemorrhage – A Promising Technique, but with Challenges: Four Illustrative Cases, Including Two Survivors.” Prehospital and Disaster Medicine, 2020, 35(1), 115-118.

52. David W. Schechtman et al., “Differing Resuscitation With Aortic Occlusion in a Swine Junctional Hemorrhage Polytrauma Model, Journal of Surgical Research, Volume 248, 2020, Pages 90-97

53. Kyle Stigall, Justin Jay Sleeter, Perry Blough, Jason Rall, David S. Kauvar,Conversion of Abdominal Aortic and Junctional Tourniquet to Infrarenal Resuscitative Endovascular Balloon Occlusion of the Aorta Is Safe and Practical in a Swine Hemorrhage Model, Journal of the American College of Surgeons, Volume 231, Issue 4, Supplement 1, 2020, Page S310

54. Schechtman, David W. MD; Kauvar, David S. MD; De Guzman, Rodolfo; Polykratis, I. Amy BS; Prince, M. Dale BS; Kheirabadi, Bijan S. PhD; Dubick, Michael A. PhD Abdominal aortic and junctional tourniquet versus zone III resuscitative endovascular balloon occlusion of the aorta in a swine junctional hemorrhage model, Journal of Trauma and Acute Care Surgery: February 2020 – Volume 88 – Issue 2 – p 292-297

55. O’Dochartaigh D, Picard CT, Brindley PG, Douma MJ. Temporizing Life-Threatening Abdominal-Pelvic Hemorrhage Using Proprietary Devices, Manual Pressure, or a Single Knee: An Integrative Review of Proximal External Aortic Compression and Even “Knee BOA. Journal of Special Operations Medicine : a Peer Reviewed Journal for SOF Medical Professionals. Summer 2020;20(2):110-114.

56. Theodorou, Christina M et al. Hate to Burst Your Balloon: Successful REBOA Use Takes More Than a Course. Journal of endovascular resuscitation and trauma management vol. 4,1 (2020): 21-29.

57. Fay Balian, et al., “First experience with the abdominal aortic and junctional tourniquet in prehospital traumatic cardiac arrest, Resuscitation, Volume 156, 2020, Pages 210-214

58. Rall, Jason et al., Conversion of the Abdominal Aortic and Junctional Tourniquet (AAJT) to Infrarenal Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Is Practical in a Swine Hemorrhage Model Abstract appeared in, Journal of the American College of Surgeons, Volume 231, Issue 4, S310 (Full Article to appear in Journal of Special Operations Medicine, Vol 21, Edition 2, Summer 2021)