Captain Rom A Stevens, a retired senior US medical navy officer who has served in Iraq, Afghanistan, and East Africa, estimates that of the roughly 100,000 amputations performed on Ukrainian soldiers since Russia’s full-scale invasion in 2022, as many as 75,000 were caused by improper use of tourniquets.
“I’ve seen tourniquets that have been left on for days, often for injuries that could have been stopped by other methods. Then [the patient] has to have their limb amputated because the tissue has died,” Captain Stevens told The Telegraph.
Tourniquets are strong bands used to stop catastrophic bleeding by cutting off blood flow, and are standard issue for most modern armies.
But if left on over two hours, they can cause tissue death, meaning the arm or leg which has the tourniquet on is no longer viable and requires amputation
''We believe that Ukrainian military, volunteer civilian, and NATO military trainers do not realize the high risk of limb loss and other negative consequences due to inappropriate use or prolonged tourniquet application. Nor do they see these consequences as the casualty is moved through and up the care chain, as there is no Ukrainian version of the U.S. joint trauma registry, and no regular review of complications. Casualty data are not published by the Ukrainian Ministry of Defense or Ministry of Health due to security concerns.6 Ukrainian hands-on training and social media sites have over-emphasized the use of proximal placement of tourniquets without explaining possible limb loss and other complications resulting from tourniquets left in situ more than 2 hours. Yatsun reported than only 25% of limb tourniquets placed during combat operations in Ukraine were appropriate, the remainder were more appropriately managed with pressure dressings.''