The Scotsman

Scots biomedical engineers pioneer limb-saving technique

- By LUCINDA CAMERON

0 A protective box will encase the affected limb in decontamin­ated air to reduce the risk of infection A new technique which could help save soldiers’ limbs after battlefiel­d injuries has been pioneered by biomedical engineers.

Described as a “life-support system for the limb”, it aims to give doctors precious time to attempt to repair damage and reduce amputation­s.

The technique has been developed by researcher­s at the University of Strathclyd­e in Glasgow and funded by the Defence Science and Technology Laboratory (Dstl) through the Defence and Security Accelerato­r.

Created in response to the experience­s of military personnel in Iraq and Afghanista­n, where improvised explosive devices caused traumatic injury, the three-stage approach brings together kit that can be used in the field with highly-specialise­d solutions once the patient is evacuated to a hospital.

The first stage of the treatment sees a novel tourniquet applied to the limb, which applies pressure at different points, reducing pressure and damage to specific areas.

A cooling “sock” is then wrapped around the tissue to preserve it from further damage until the casualty can be evacuated to a care facility.

Once at a hospital, the limb is then placed inside a protective “box”, which can sustain the area while doctors attempt repairs.

The box has specially decontamin­ated air to reduce infection and continuall­y supplies the affected area with blood.

Following successful trials, the system is set to be available commercial­ly and could one day form part of the medical kit in every frontline unit.

Professor Terry Gourlay, head of the department of biomedical engineerin­g at Strathclyd­e University, said: “We looked at every stage of the journey an injured soldier follows after injury to ensure our solution was designed specifical­ly for them.

“The system we have developed is essentiall­y a lifesuppor­t system for the limb which gives doctors precious time to attempt to repair damage while ensuring the safety of the patient.”

The technology weighs only five kilogramme­s and is specially designed for deployment on operations and use by combat medics.

However, the system could also be used in a non-military setting, for example during natural disasters or at remote locations. Dr Neal Smith, medical sciences capability adviser from Dstl, added: “While this technique may not be right for every injury, it is a hugely important innovation which could save the limbs of many more of those affected.

“It’s a fantastic example of where we work with academics to fund life-changing research which has been turned into a product to improve the quality of life of those injured in service.”

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