TABLE 1.

Reasons to Convert or Replace Tourniquets

Limb preservation	Prolonged tourniquet use can lead to ischemia and tissue damage, increasing the risk of limb loss.
Prevention of compartment syndrome	Prolonged tourniquet application can lead to the development of compartment syndrome, a condition characterized by increased pressure within a muscle compartment, resulting in tissue damage and potential loss of limb function.
Prevention of reperfusion injury	When a tourniquet is released after prolonged use, reperfusion of the limb can lead to systemic complications such as acidosis, coagulopathy, hypotension, renal failure, and death.
Avoidance of prolonged pain and discomfort	Prolonged tourniquet application can cause significant pain and discomfort to the casualty and can increase the need for analgesia medications in a limited resource environment.