Price: On Request

Powerful improvised explosive devices were responsible for severe lower limb amputations, often associated with perineal wounds, pelvic fractures, massive haemorrhage and severe trauma to the pelvic vessels and viscera. This pattern of injury has become recognised as the signature injury of the Afghan Conflict.

SAM 1 reproduces the key features of these injuries, including a simulated circulation with real-time blood loss. The model can be used to train in point of wounding techniques including tourniquet, pelvic binder and haemostatic dressing application. Damage control surgical procedures include extra-peritoneal pelvic packing, junctional haemorrhage control, arterial shunting, lower limb fasciotomy and external fixation. Individual elements of SAM 1 can be produced as separate models including SAM 2 Lower Limb Fasciotomy, SAM 5 Haemostasis, SAM10 Haemostasis and Vascular Shunting Models.

Key Features

Real-time catastrophic bleeding requiring correct application of haemorrhage control techniques are the key features of this highly sophisticated model. The model of a male extends from the costal margin and includes either the whole left lower limb and a simulated right transfemoral traumatic amputation on the right or bilateral traumatic amputations. The model contains the aorta, common, external and internal iliac vessels, along with the femoral vessels extending to the tibial vessels. All major muscle groups and osteofascial compartments are included along with the femora and bones of the pelvic ring and lower lumbar spine, tibia, fibula and foot.

The model is produced in tact and can then be prepared to reproduce any chosen injury pattern, such as a simulated perineal blast injury with an open wound, and separation (diastasis) at the front of the pelvic ring. Suitable for pelvic binder application, extraperitoneal pelvic packing, pelvic and lower limb external fixation and fasciotomy.

Extraperitoneal packing of the pelvis and direct control of the iliac vessels can be executed in the model via a lower midline incision as shown. Elements of the model can be repaired. The lower midline incision has been repaired and was successfully reused for pelvic packing 6 times. A replaceable anterior abdominal wall is under development.