Hemostatic Dressings
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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
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