Quick Clot Combat Gauze Procedure for Extremity or Junctional Hemorrhage скачать в хорошем качестве

Quick Clot Combat Gauze Procedure for Extremity or Junctional Hemorrhage

QUICKCLOT COMBAT GAUZE CRITERIA: • Extremity or junctional hemorrhage uncontrolled by direct pressure. CONTRAINDICATIONS: • Thoracoabdominal trauma, including internal wounds, sucking chest wounds, and exposed bowel. • Eye injuries. EQUIPMENT: • Sterile 4x4s (non-sterile, if unavailable) • QuickClot Combat Gauze PROCEDURE: 1. Remove pooled blood from the wound cavity using 4x4s. 2. Determine the source of significant hemorrhage. 3. Pack the QuickClot Combat Gauze directly onto the bleeding source, maintaining constant pressure at the hemorrhage source. 4. Use 4x4s to wipe the remainder of the wound cavity to ensure no other sources of bleeding. 5. Continue constant pressure application at the hemorrhage sources for an additional 3-5 min. 6. Once hemorrhage is controlled, pack the remainder of the QuickClot Combat Gauze into the wound cavity. 7. Pack 4x4s into the remainder of the wound cavity, if space allows. 8. Apply a pressure dressing. 9. Frequently re-evaluate the patient and the wound for re-bleed. Do not remove the bandage unless bleeding continues. If needed, repeat the process to obtain hemorrhage control. CONSIDERATIONS: • Placing QuickClot Combat Gauze into a wound cavity full of blood will not allow for the hemostatic chemical to be directed at the source of bleeding. Adequate wound bowl clean-out is imperative. • A fully saturated bandage may not provide adequate hemostasis. Consider replacing if significantly saturated and hemorrhage control not obtained. Disclaimer: While we welcome viewers from other EMS systems and the general public, please note that the content in these videos is intended primarily for internal use within HCEC. The procedures and guidelines presented should not supersede any other department's local or regional medical direction. Additionally, all human cadavers used in these demonstrations have been ethically sourced and treated with the utmost respect, in compliance with all relevant laws and ethical guidelines.