[Advanced methods of prehospital bleeding management based on the experience and standards of tactical medicine].
Polski Merkuriusz Lekarski · 2015-09-01 · Other / unclear
Abstract
Hemostatic agents are currently used in the form of special granules or soaked gauze. Their use is particularly advantageous in difficult body location (e.g. on neck, armpit or groin), where other methods of bleeding control are impossible to use or fail. In a tactical environment tranexamic acid received first class recommendation for use in case of severe bleeding in the US Army. Its application should be considered in case of traumatic amputation, penetrating chest and abdominal trauma or hemorrhagic shock. The aim of the implementation of hypotensive resuscitation is to maintain perfusion of vital organs in patient with hypovolemia, without excessive fluid infusion. Modern method of bleeding control in combat condition are compression clamps. The purpose of these devices is to compress blood vessel by external pressure pads, especially in difficult to access arteries and large veins in the pelvis or in the distal abdominal aorta.
Abstract © the authors or publisher, via PubMed. Reuse and removal
Tags
Haemostatic dressings & wound packing · Haemostatics · Military & tactical · Tranexamic acid
Related articles
- Initial management of haemorrhagic war casualties: tactical priorities and innovative approaches in modern and future warfare. (Crit Care, 2025)
- Saving Lives on the Battlefield (Part II) ? One Year Later A Joint Theater Trauma System and Joint Trauma System Review of Prehospital Trauma Care in Combined Joint Operations Area?Afghanistan (CJOA-A) Final Report, 30 May 2014. (J Spec Oper Med, 2015)
- Prehospital trauma experience of the Israel defense forces on the Syrian border 2013-2017. (J Trauma Acute Care Surg, 2019)
- An Analysis of Adherence to Tactical Combat Casualty Care Guidelines for the Administration of Tranexamic Acid. (J Emerg Med, 2019)
- Ukraine Trauma Project: the feasibility of introducing advanced trauma-care skills to frontline emergency medical services responders. (BMJ Open, 2023)
- Surgical adjuncts to noncompressible torso hemorrhage as tools for patient blood management. (Transfusion, 2016)