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Understanding Hemostatic Dressings: Critical Bleed Management

Introduction

Hemostatic dressings are vital for managing life-threatening bleeds, including stab wounds, gunshot wounds, explosions, amputations, and penetrating trauma.

Applicability

They are specifically designed for catastrophic bleeding situations and are not recommended for minor bleeds, where direct pressure and pressure dressings suffice.

Types and Brands

Hemostatic dressings are available in various brands, with two main types being Celox and Quick Clot.

Composition

They function as hemostatic agents, promoting clot formation by reacting with blood components.

Safe Usage

Hemostatic dressings can be applied to most parts of the body except open head and chest wounds. They are safe and easy to use, with no heat production and natural breakdown in the body.

Application Formats

Hemostatic dressings come in different formats to address various injuries, including pads, gauze, and applicators.

Working Mechanism: Celox

Celox operates by absorbing fluid, concentrating blood, and forming a gel that plugs the wound by attracting red blood cells and platelets. It effectively stops bleeding within minutes.

Effectiveness

Research indicates Celox's superior performance in military injuries, achieving high survival rates and minimal blood loss compared to other treatments.

Application Procedure

Apply the hemostatic dressing directly to the wound and maintain direct pressure. Standard dressings control bleeding within 3 minutes, while Celox achieves rapid bleeding control within 60 seconds.

Monitoring and Reapplication

Check the wound after the designated time. If bleeding persists, apply pressure for an additional period. Once bleeding stops, bandage the wound securely, ensuring the hemostatic dressing wrapper is visible for medical professionals.

Post-Application

Hemostatic agents are removed in the hospital setting by a doctor, not by first aiders.

  • IPOSi Unit three LO3.1, 3.2, 3.3 & 3.4