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It has taken a little while for us here in the UK to push the principles of early massive haemorrhage control, but we are getting there. Although there are many HCA products on the market, I still find that the best solution to haemorrhage control is the same as any other aspect of soldiering - 'basic skills done well'. That is to say, a fast application of a combat arterial tourniquet with elevation, giving further attention to the wound ie. direct pressure dressing, as you naturally progress through the primary survey. We are looking at hemcon and quickclot as a means to give the soldier on the ground a further option when he is faced with a non-compressible haemorrhage to the abdomen, or any other wound where a tourniquet cannot be applied. They are most certainly not to be considered as an alternative to good, basic skills.
Hope this helps.
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And meet them ever alike.
When you are the anvil bear,
When you are the hammer, strike.
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