[98G]

ok -- full disclosure -- I was a co-inventor of the JETT. So my bias established, I am no longer with the company and have no financial ties to it. I waived all IP rights when I left.

The signature injury addressed is a bilateral extremity bleed with one (at least) too high on the leg for a tourniquet and an open book fracture. So we addressed with a pelvic bind while using trapezoids to screw down that wedge into the inguinal crease to stop the bleed. Courty -- I am surprised at the issue of not stopping the pulse. We did the cadavers and used it on each other testing with a doppler and always occluded. It has also been used by Houston paramedics and the field and saved 5 lives so far.

The abdominal seems extreme. Just reaching down in a cadaver to press the aorta and I cannot imagine compressing someone with that level of injuries and not have respiratory distress or necrosis of vital organs. Furthermore, any pneumatic seems counter intuitive going up/down in varying air pressures. The CRoC was the right idea, but a c-clamp with a rounded ball to a small pressure point is hard to keep steady and needs to be applied exactly to work. And of course -- you may need two and the pelvic bind.

Nothing is perfect for these injuries yet, but I think each round of products improve on the last. To the credit of all the companies trying, they are spending more money in R&D than they are making in revenue. It is a small market. They are all doing it because they want to save lives. Hopefully, the next great idea will beat all of these. IED's aren't going away.