Hemorrhagic Control Agents - Page 5

Monsoon65 · 04-22-2006, 16:28

Quote:

Originally Posted by NousDefionsDoc

Keeping the "area dry before applying" sounds a lot like "do a tactical reload during a lull in the fight". I've never seen either a dry field or this lull of which they speak - at least not in cqb.

Exactly! That's what the medic said. She said how are you going to manage this? Your hands are probably wet with water and blood, the area of the wound is covered in the same, and you have to dry up any excess before using the quikcot.

Her advice is just do your best. Get the bleeding stopped, be careful and get the job done.

NousDefionsDoc · 04-22-2006, 18:15

I think the early tourniquet is a good idea. It should help dry the field a little.

docbuxton · 04-23-2006, 19:43

Hello every one! I'm a new member and I recently worked with a few doctors at portsmouth naval hospital in VA. we had 24 pigs and tested the quick clot powder and the new ACS. The ACS had a spike of 150 degrees F. on innitial contact. acording to my class I attended, it is a last resort. A lot of people don't know how to properly use this.

**The Reaper** · 04-23-2006, 20:05

Quote:

Originally Posted by docbuxton

Hello every one! I'm a new member and I recently worked with a few doctors at portsmouth naval hospital in VA. we had 24 pigs and tested the quick clot powder and the new ACS. The ACS had a spike of 150 degrees F. on innitial contact. acording to my class I attended, it is a last resort. A lot of people don't know how to properly use this.

Doc:

Thanks for the input, we have a couple of trauma surgeons here and some pretty good PAs and SF medics as well, so you will be in good competent medical company.

You need to do some reading of the stickies and intros and introduce yourself in the proper place before posting again.

Thanks.

TR

Invictus · 04-24-2006, 11:22

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.

Basicload · 04-24-2006, 11:22

I'm a little out of my lane since I am not a dedicated Doc but only a first responder. However I have friends that are 91W1's and 18D's to include SOMC instructors and I have discussed this with them several times in an effort to educate myself on another "tricky internet topic".

Quick Clot was reciently added to the standard medical kit to be carried by SOF units in USSOCOM. This is IN ADDITION to the Hem-com dressing that was already required for carry by every SOF member.

In a recient SOF evaluation, QC stopped 9 of 10 live tissue bleeds and Hem-com stopped 10 of 10 bleeds.

According to what I was told QC and Hem-com stop bleeding in different ways and that there is no thermal reaction with Hemcon.

According to the new USSOCOM policy, QC is to be applied AFTER a TQ(if would site allows) and Hemcon dressing have failed to stop the bleeding. As stated before, it is meant as a last resort after other methods have failed to stop an uncontrolled bleed.

As a senior 18D stated to me last week. "QC works and I would use it if I had to, but I know that if somebody used it on me I would have the ass.....That S**T gets HOT!"

Proper QC usage has been added to SOF paramedic refresher.

Hope this helps,

Cheers

docbuxton · 04-26-2006, 14:36

Hello,
Sorry for the improper intro. I'm a navy corpsman with a Marine corps company (support) in NH as a reservist. I'm currently a National Registry EMT-Intermediate with 11 yrs and have been in the navy for 7.5 yrs. I love the medical field and love supporting the special teams for different evolutions. I have attended CONTOMS tactical medic program, Corpsman combat casualty care course, various other trainings and will be attending OEMS this September. I'm always telling people that i'm like a sponge and absorbing as much med. info as I can. I hope this is enough info. If anyone wants more info, just let me know.

doc buxton

Monsoon65 · 04-26-2006, 17:32

Quote:

Originally Posted by NousDefionsDoc

I think the early tourniquet is a good idea. It should help dry the field a little.

I spoke to the medic that gave the class yesterday when I went in to fly.

She threw a monkey wrench into the works:

"What if it's raining?"

She really teaches a great class and gets you thinking about what to do in emergency situations. Has a lot of first hand experience thru her civilian job and combat deployments.

**Razor** · 04-26-2006, 21:15

Uh, you pull out a poncho, or rain parka, or anything else you can use to cover yourself and the wound site (caveat: this is an idea coming from someone untrained in medicine)?

SRT31B · 04-26-2006, 23:10

Adapt, improvise, and overcome...

I think Razor's idea would work just fine, but I'm not an expert.

Monsoon65 · 04-27-2006, 14:05

Quote:

Originally Posted by Razor

Uh, you pull out a poncho, or rain parka, or anything else you can use to cover yourself and the wound site (caveat: this is an idea coming from someone untrained in medicine)?

That's what I suggested. Or if you don't have that, lean over and try to cover as much as you can with your upper body.