UMEM Educational Pearls

Title: Use of an abdominal aortic and junctional tourniquet

Category: Trauma

Keywords: aajt, tourniquet (PubMed Search)

Posted: 2/4/2026 by Robert Flint, MD (Updated: 2/14/2026)
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A case report on use of the abdominal aortic and junctional tourniquet in a 27 year old female with hemorrhagic shock secondary to a pelvic fracture after a 10 meter fall demonstrated improved blood pressure and stabilized vasopressor use prior to operative intervention. This device has been used in battlefield situations, however very few reports of civilian use exist. Much more data is needed, however, it is a device to be aware of for future use.

Additional Information

From the manufacture's website:

"The AAJTS is an Abdominal Aortic Junctional Tourniquet that is designed to stop non-compressible hemorrhages wherever they occur on the body. FDA Certified for abdominal, axilla, inguinal and pelvic fractures, the AAJTS is battlefield tested and proven to be quick, easy, and effective to deploy.

  • For use with axilla, abdominal, pelvic fractures, inguinal , and REBOA - Zone 3 hemorrhage control
  • Featured in over seventy scientific publications
  • Lightweight and compact
  • Multi-purpose and easy to apply"

References

1. Honnef, G., Freidorfer, D., Puchwein, P. et al. Bleeding control in catastrophic blunt pelvic trauma using the abdominal aortic and junctional tourniquet in a civilian level I trauma center: A case report. Scand J Trauma Resusc Emerg Med 34, 2 (2026). https://doi.org/10.1186/s13049-025-01517-w

2.https://www.life-assist.com/products/details/2848/abdominal-aortic-junctional-tourniquet/