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Gauze vs XSTAT in wound packing for hemorrhage control

  • Author Footnotes
    1 John F. Kragh, Jr, COL (Ret), MC, USA, Orthopedic Surgeon, US Army Institute of Surgical Research (USAISR), JBSA Fort Sam Houston, TX. E-mail: [email protected]; Assistant Professor, Uniformed Services University of the Health Sciences, F Edward Hébert School of Medicine, Bethesda, MD.
    John F. Kragh Jr.
    Correspondence
    Corresponding author at: US Army Institute of Surgical Research, Damage Control Resuscitation, 3698 Chambers Pass, Ste B, JBSA Fort Sam Houston, TX 78234-7767. Tel.: +1 210/539 2210; fax: +1 210/539 9291.
    Footnotes
    1 John F. Kragh, Jr, COL (Ret), MC, USA, Orthopedic Surgeon, US Army Institute of Surgical Research (USAISR), JBSA Fort Sam Houston, TX. E-mail: [email protected]; Assistant Professor, Uniformed Services University of the Health Sciences, F Edward Hébert School of Medicine, Bethesda, MD.
    Affiliations
    US Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, TX 78234-6315
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  • James K. Aden
    Affiliations
    US Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, TX 78234-6315
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  • John Steinbaugh
    Affiliations
    RevMedx Inc, 25999 SW Canyon Creek Road, Suite C, Wilsonville, OR 97070
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  • Mary Bullard
    Affiliations
    RevMedx Inc, 25999 SW Canyon Creek Road, Suite C, Wilsonville, OR 97070
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  • Michael A. Dubick
    Affiliations
    US Army Institute of Surgical Research, 3698 Chambers Pass, JBSA Fort Sam Houston, TX 78234-6315
    Damage Control Resuscitation, USAISR, JBSA Fort Sam Houston, TX
    Search for articles by this author
  • Author Footnotes
    1 John F. Kragh, Jr, COL (Ret), MC, USA, Orthopedic Surgeon, US Army Institute of Surgical Research (USAISR), JBSA Fort Sam Houston, TX. E-mail: [email protected]; Assistant Professor, Uniformed Services University of the Health Sciences, F Edward Hébert School of Medicine, Bethesda, MD.
Published:March 25, 2015DOI:https://doi.org/10.1016/j.ajem.2015.03.048
      Hemorrhage is the primary cause of mortality on the battlefield [
      • Blackbourne L.H.
      • Baer D.G.
      • Eastridge B.J.
      • Kheirabadi B.
      • Bagley S.
      • Kragh Jr., J.F.
      • et al.
      Military medical revolution: prehospital combat casualty care.
      ,
      • Eastridge B.J.
      • Mabry R.L.
      • Seguin P.
      • Cantrell J.
      • Tops T.
      • Uribe P.
      • et al.
      Death on the battlefield (2001-2011): implications for the future of combat casualty care.
      ], and packing of subfascial, cavitary wounds by US combat medics is a common way to control out-of-hospital hemorrhage. The objectives of the present study are 2-fold: (1) to improve awareness of the mechanics of wound packing for hemorrhage control, and (2) to compare wound packing with standard gauze vs a new product of expanding sponges.
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      References

        • Blackbourne L.H.
        • Baer D.G.
        • Eastridge B.J.
        • Kheirabadi B.
        • Bagley S.
        • Kragh Jr., J.F.
        • et al.
        Military medical revolution: prehospital combat casualty care.
        J Trauma Acute Care Surg. 2012; 73: S372-S377
        • Eastridge B.J.
        • Mabry R.L.
        • Seguin P.
        • Cantrell J.
        • Tops T.
        • Uribe P.
        • et al.
        Death on the battlefield (2001-2011): implications for the future of combat casualty care.
        J Trauma Acute Care Surg. 2012; 73: S431-S437