A multi-institutional study of hemostatic gauze and tourniquets in rural civilian trauma

Leonard, Jennifer; Zietlow, John; Morris, David; Berns, Kathleen S.; Eyer, Steven D.; Martinson, Kurt A; Jenkins, Donald H.; Zietlow, Scott P.

doi:10.1097/ta.0000000000001115

Cited by 55 publications

(70 citation statements)

References 10 publications

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“…On the basis of recent studies by te Grotenhuis et al and Leonard et al, hemostatic agents seem to be efficacious in adjunctive control of bleeding in the prehospital civilian setting. The total number of applications of hemostatic gauze in both studies was small, however 18,19…”

Section: Discussionmentioning

confidence: 92%

Availability and use of hemostatic agents in prehospital trauma patients in Pennsylvania translation from the military to the civilian setting

Sigal¹,

Martin²,

Ong

2017

OAEM

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ObjectiveTo understand the translation of one innovation in trauma care from the military to the civilian setting, the adoption of topical hemostatic agents in the Emergency Medical Services (EMS) community and in Trauma Centers in Pennsylvania.MethodWe utilized an anonymous electronic survey of EMS Agency Administrative Officers and Trauma Center Coordinators.ResultsWe received responses from 23% (93/402) Advanced Life Support and Air Medical agencies in the State. Of the EMS agencies that responded, 46.6% (61/131) stock hemostatic products, with 55.5% (44/79) carrying QuickClot® Combat Gauze®. Of the agencies that carried hemostatic products, 50% utilized them at least once in the prior 6 months and 59% over the past 12 months. Despite the infrequent number of applications, prehospital providers ranked themselves as somewhat skilled and comfortable both with the application of the products and the indications for their use.ConclusionOur survey found that 46.6% of the respondents indicated they carry hemostatic products, a much greater number than found on prior surveys of EMS agencies. There is a steady acceptance by EMS of new innovations in trauma care although more work is needed in translating the exact role of hemostatic agents in the civilian setting.

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Section: Discussionmentioning

confidence: 92%

Availability and use of hemostatic agents in prehospital trauma patients in Pennsylvania translation from the military to the civilian setting

Sigal¹,

Martin²,

Ong

2017

OAEM

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“…Of the studies reporting demographics, there were 366/446 (82%) male patients, and the average age ranged from 22 to 59 years. One study presented an injury severity score 31. Three studies presented physiological parameters,13 28 34 with two studies comparing these between the haemostatic group and the comparator 13 28.…”

Section: Resultsmentioning

confidence: 99%

Prehospital haemostatic dressings for trauma: a systematic review

et al. 2018

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“…However, the evidence was based on lower-level human (case series and reports) and animal (swine models with various vascular injuries) studies. A multi-institutional retrospective analysis of clinical outcomes following prehospital use of Combat Gauze found that it was 89% effective for hemorrhage control and associated with minimal morbidity in rural civilian trauma across a wide range of wounds on the head or face, upper and lower extremities, and junctional regions [141]. A prospective report of 30 prehospital uses of Combat Gauze in a civilian setting showed 73% cessation of bleeding and 20% reduced bleeding [142].…”

Section: Combat Gauzementioning

confidence: 99%

Hemostatic agents for prehospital hemorrhage control: a narrative review

Peng

2020

Military Med Res

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Hemorrhage is the leading cause of preventable death in combat trauma and the secondary cause of death in civilian trauma. A significant number of deaths due to hemorrhage occur before and in the first hour after hospital arrival. A literature search was performed through PubMed, Scopus, and Institute of Scientific Information databases for English language articles using terms relating to hemostatic agents, prehospital, battlefield or combat dressings, and prehospital hemostatic resuscitation, followed by cross-reference searching. Abstracts were screened to determine relevance and whether appropriate further review of the original articles was warranted. Based on these findings, this paper provides a review of a variety of hemostatic agents ranging from clinically approved products for human use to newly developed concepts with great potential for use in prehospital settings. These hemostatic agents can be administered either systemically or locally to stop bleeding through different mechanisms of action. Comparisons of current hemostatic products and further directions for prehospital hemorrhage control are also discussed.

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A multi-institutional study of hemostatic gauze and tourniquets in rural civilian trauma

Abstract: Therapeutic study, level V.

Cited by 55 publications

References 10 publications

Availability and use of hemostatic agents in prehospital trauma patients in Pennsylvania translation from the military to the civilian setting

Availability and use of hemostatic agents in prehospital trauma patients in Pennsylvania translation from the military to the civilian setting

Prehospital haemostatic dressings for trauma: a systematic review

Hemostatic agents for prehospital hemorrhage control: a narrative review

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