Enhancing Immediate Care: Hemostatic Agents for Trauma in the Tactical Environment

Tactical ResponseVol. 4 Nbr. 3, May 2005

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Summary


Several obstacles must be overcome before implementation of novel hemostatic agents in the field. Laboratory studies of hemostatic dressings have involved precise, machine-cut wounds that differ vastly from the mechanisms of trauma. Dressings can only treat certain injuries that are accessible to a prehospital provider. The EMS setting itself is challenging for the maintenance of dressing integrity and its application. Hemostatic dressings must also be shown to safely promote appropriate clotting.

New application of hemostatic agents for trauma in the tactical environment proved quite successful. Hemostatic agents may augment a patient's ability to clot blood following severe injury. Here, Krainik and Weir detail how to enhance immediate care using hemostatic agents for trauma in a tactical environment.

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Extract


Enhancing Immediate Care: Hemostatic Agents for Trauma in the Tactical Environment

Half of all officers who were killed during the last five years were wearing body armor. Hemorrhagic shock from blood loss is often the result of these injuries, and is the leading cause of death among tactical officers. If the hemorrhage could be controlled sooner after the injury was incurred, a better chance of survival could exist for wounded tactical officers.

Recent developments by private companies, the American Red Cross and the US Armed Forces could have the answer tactical law enforcement is looking for.

Two ideas essential to understanding trauma are the anatomy of the injured body region and the mechanism of injury. A mechanism of injury is typically described as blunt (motor vehicle crash, fall), penetrating (gunshot or stabbing), or a blast injury (explosion). Logically, high-energy projectiles such ...

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