Table 2

AAJT-S healthy volunteer and mannikin studies

StudyNumber in studyMethodologyOcclusion of flowEase of useComplication
Lyon et al 23 9Single individual applied all AAJTs7/9
78% success
Applied in <1 minPain ranged moderate to severe
Pain stopped when device removed
Pain 7/10
Smith et al 24 17
(34 applications)
CMTs performed role of healthy volunteer and practitioner after 60 min training package27/34
79% success
Median time of application daylight 75 s, low light 57 s
4.4/5 user rating
Not reported
Taylor et al 25 16Females excluded
Application until CFA flow stopped or 300 mm Hg reached
15/16
94% success
Not reportedTriphasic flow returned in all after 1 min
Kragh et al 34 10
(120 applications)
Comparing four different FDA-approved devices
  • SJT

  • CRoC

  • JETT

  • AAJT

AAJT 8/30
27% success
AAJT ranked 4/473% terminated early due to pain
Pain 76/100
Significantly worse pain
Kragh, 201432 9
(72 applications)
Four junctional tourniquets tested Healthy volunteers also acted as practitioners2/18
11% success
SJT and CRoC highest effectiveness and usabilityAll tourniquets considered safe
No pain score reported
Chen et al 26 14Mannikin study by Israeli Defence Force comparing four different devicesNot reported Mannikin studyNo significant difference between modelsAAJT device failed after multiple applications
  • AAJT, abdominal aortic junctional tourniquet; CFA, common femoral artery; CMT, combat medical technician; CRoC, Combat Ready Clamp CRoC; FDA, Food and Drug Administration; JETT, Junctional Emergency Treatment Tool; SJT, SAM Junctional Tourniquet.