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Old 08-23-2013, 13:09   #101
Trapper John
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Join Date: Nov 2012
Location: Harrisburg, PA
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Quote:
Originally Posted by swatsurgeon View Post
Where's the tourniquet???
Celox?? How about combat gauze as a better choice (personal experience)
Have to agree with Miclo18d on this one too. The kaolin based combat gauze works by presumably increasing absorption of water. That is why gauze has hemostatic properties. Kaolin just improves that supposedly. I saw a comparison between combat gauze (kaolin hemostatic) versus regular gauze in a controlled hospital setting. No statistical difference in the mean clotting time. I'll try to find that study and post it. As a side note, this is why native Americans used a poultus of clay on wounds (kaolin is a component of clay). That probably is the source of "rub some dirt in it" as 98G was nearly admonished.

Kaolin's water adsorption is exothermic and that gives me concern as well. As noted by miclo18d. Also, kaolin is a microparticulate mineral that is not dissolved and provides an excellent surface for biofilm formation and bacterial growth.

On the other hand, chitosan is a pharmaceutical grade natural product derived from the exoskeleton of arthropods. In fact it is the chitosan that provides the agglutination of insect and shell fish heamolymph and protection after their exoskeleton has been breached. Same basic principle in human clotting. Chitosan interacts directly with the platelets to induce clotting factor release. Sound biochemistry and cellular biology IMO. You also don't have those pesky problems of exothermia and surfaces for biofilm formation. JMO
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