Clotting Agent

Discussion in 'Health & Medicine' started by Dana, Oct 10, 2008.

  1. Dana

    Dana Guest

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    Where can I get clotting agent - brand name (if any) and commercially available source. Do these come in sizes; if so, what is the best all purpose size? What is shelf life?
     
  2. tortminder

    tortminder Well-Known Member

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  3. ke4sky

    ke4sky ke4sky

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    ACS Quik-Clotting Sponge

    The FDA approved Emergency Bandage is designed to staunch blood flow from traumatic hemorrhagic wounds in pre-hospital emergency situations. It consolidates primary dressing, pressure applicators, secondary dressing and (if necessary) tourniquet, into one unit and is designed to be easily and quickly applied by non-medical personnel for immediate, accelerated hemorrhage control. See the URL:

    Emergency Bandage - First Care Products

    There are few lacerations which cannot be closed adequately with butterfly strips, after liberal application of tincture of benzoin around the wound edges, so that the adhesive tape will "stick." Avoid use of benzoin near the eyes.

    Infection is always a risk in any field environment. So while you want to close gaping wounds, they must be able to drain and to be periodically irrigated and cleaned while they are healing.

    If severe bleeding is an issue a pressure bandage handles most.
    If you don't have the military issue wound compress, carry sanitary napkins and duct tape which you can effectively improvise with.

    Our Level III CERT personnel are issued military wound compresses and Z-Medica First Response packets. Z-Medica sells Quik-Clot only to trained medical personnel, because the material produces an exothermic reaction in the presence of moisture and some precautions are needed to prevent burns which could exaerbate the injury. Online training for serving military personnel and first responders is available at the URL:

    Welcome to Z-Medica Web Site
    For product purchasing information go to the URL:
    QuikClot - ON SALE

    Celox is a UK-produced competitor product which FDA has also approved. It does not cause an exothermic reation, has no known side effects or allergic reactions, and is in current use by UK forces in Iraq and Afghanistan. It can be purchased at military exchanges or Untitled Document without restriction. It requires no special training to use. Just pour it in, pack it, and apply pressure. Celox
     
  4. dilligaf

    dilligaf Well-Known Member

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    grow some yarrow cayenne pepper is also a blood stop both simple to grow perdy and cheap.
     
    Last edited: Oct 21, 2008
  5. billythekid

    billythekid Guest

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    Is petroleum jelly considered a clotting agent or able to stop bleeding for small wounds or does the blood just come up from under it if the wound is bad enough?
     
  6. Molon Labe

    Molon Labe Come And Get'em

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    If you are looking for the best product available here is some guidance.

    The Committee on Tactical Combat Causality Care has revised their recommendations for the 2008 Guidelines. See the info below.

    2008 TCCC Updates

    The 2008 TCCC Update has a Chart on page 21 showing the major Hemostatic Agents


    Here are the important notes for the changes in Hemostatic Agents in TCCC. This is from a memo from Capt. Frank Butler the Chairman of CoTCCC.

    2. A number of new hemostatic agents have recently become available. These new agents have undergone testing both at the U.S. Army Institute for Surgical Research (USAISR) and the Naval Medical Research Center (NMRC). The findings from these studies were presented to the Committee on TCCC (CoTCCC) on 1 April 2008. Three different swine bleeding models were used: a 6mm femoral artery punch model at USAISR and both a 4mm femoral artery punch model and a femoral artery/vein transaction model at NMRC. Both the NMRC and the USAISR studies found Combat Gauze and Woundstat to be consistently more effective than the hemostatic agents HemCon and QuikClot previously recommended in the 2006 TCCC guidelines. No significant exothermic reaction was noted with either agent. Celox was also found to outperform the current agents, although it performed less well than WoundStat in the more severe USAISR model, where 10 of 10 Woundstat animal survived, 8 of 10 Combat Gauze animals survived, and 6 of 10 Celox animals survived. The reports detailing this research will be available shortly from USAISR and NMRC.

    3. In light of these findings, the CoTCCC voted to recommend Combat Gauze as the first line treatment for life-threatening hemorrhage that is not amenable to tourniquet placement. Woundstat is recommended as the backup agent in the event that Combat Gauze does not effectively control the hemorrhage. The primary reason for this order of priority is that combat medical personnel on the committee expressed a strong preference for a gauze-type hemostatic agent rather than a powder or granule. This preference is based on field experience that powder or granular agents do not work well in wounds where the bleeding vessel is at the bottom of a narrow wound tract. A gauze-type hemostatic agent is more effective in this setting. Combat Gauze was also noted to be more easily removable from the wound site at the time of surgical repair. Woundstat might, however, be very useful in circumstances where the first-line agent has been ineffective or where the characteristics of the wound make a granular agent preferable.

    You can get Combat Gauze and WoundStat from North American Rescue Products or Chinook Medical

    The disadvantage to Combat Gauze and WoundStat is cost. Both are between $30 and $40 per package.

    If you want Celox I would go Calvery Arms

    I would stay away from QuickClot as the new versions just do not work as well as Combat Gauze, WoundStat, or Celox. But if you want it, try L.A. Police Gear

    Before you set out to buy Hemostatic Agents be sure you understand the proper wound management and packing. Direct pressure is the first line treatment. The American College of Surgeons and the Pre-Hospital Trauma Life Support Guidelines no longer recommend elevation and pressure points for severe bleeding. There is no evidence that these techniques work and you may be wasting precious time. If direct pressure does not work, for extremity trauma go directly to a tourniquet. No they will not lose the limb. See the links below for the studies. For bleeding that is not amenable by a tourniquet such as a high femoral artery injury go to your hemostatic agents. Apply the agent and pack the wound with gauze and apply constant pressure for 2-3 minutes. Wrap with compression bandage to keep pressure on the wound.

    Like many traditional beliefs, the tradition is strong, but the evidence is weak. Here is the evidence supporting tourniquet use

    February 2008 Journal Of Trauma - Tourniquet Use
    This is an overview of the article. I have the PDF of this that I can email if you would like

    Here is an article from JEMS
    Tourniquet First

    Another JEMS Article
    Return of the Tourniquet

    The nuts of it is Tourniquets are very effective lifesaving tools that have very few side effects, even when placed incorrectly and left in place for several (greater than 2) hours. Tourniquets are used in surgery everyday with no complications.
     
  7. Blueberry556

    Blueberry556 Guest

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    You can go to Cavalry Arms directly if you want to phone in your order during business hours, or you can go to my website (CC only) or to my [url="http://stores.ebay.com/thetacticalmedic/]eBay Store[/url] (PayPal or Cashier's Check/Money Order) 24hrs a day. I am an Authorized Distributor of all Cav products except FFL items.