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Hemostatic Control Agents, Update
Gents:
Not a medic, but I recently stayed at a Holiday Inn Express. I also watched the briefing at SOMA by the project officer for HCAs.
The Navy recently tested four HCAs, and Celox came out on top. It was among the best at stopping bleeding, is relatively inexpensive, does not create the exothermic burns that at least one other does, was relatively good at maintaining control during patient movement and handling, and finally, was the easiest to clean out of the wound during debridement and closure (rinse out with no ill-effects).
I believe that if long term studies were done including the post-incident recovery of patients after Quick Clot, it would be pulled from the market, or at least severaly limited in use. Anyone who opens a pack in a windy environment is going to create some problems as well. In a helicopter, it could be terminal. Users need to understand that it is a last resort, to be used only if other measures, like direct compression with packing for five minutes have failed.
I think that the Navy study is among the best, looking at the right primary factors (total blood loss and mortality) with few axes to grind or sponsors to protect.
Hope this is of value.
TR
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"It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better. The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat." - President Theodore Roosevelt, 1910
De Oppresso Liber 01/20/2025
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