Topical hemostatics for bleeding control in pre-hospital setting: Then and now

被引:10
作者
Guven, H. Erhan [1 ]
机构
[1] Univ Hlth Sci, Gulhane Training & Res Hosp, Dept Gen Surg, Ankara, Turkey
来源
ULUSAL TRAVMA VE ACIL CERRAHI DERGISI-TURKISH JOURNAL OF TRAUMA & EMERGENCY SURGERY | 2017年 / 23卷 / 05期
关键词
Bleeding; pre-hospital; topical hemostatics; EXTREMITY ARTERIAL HEMORRHAGE; QUIKCLOT COMBAT GAUZE; SWINE MODEL; BLOOD-LOSS; AGENTS; DRESSINGS; EFFICACY; CHITOSAN; INJURY; EXPERIENCE;
D O I
10.5505/tjtes.2017.47279
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Massive hemorrhage causes instant and early deaths because of hypovolemia. However, even if the victim makes it to the hospital, hypothermia, metabolic acidosis, and coagulation impairments caused by bleeding pose a great risk for survival. Many topical hemostatic agents are developed for neck, armpit, or groin injuries that are not amenable to tourniquet application and for extremity wounds to be used in conjunction with tourniquets. This paper focuses on those hemostatics that differ based on the action mechanism and are suitable for pre-hospital setting and summarizes the latest recommendations regarding their usage.
引用
收藏
页码:357 / 361
页数:5
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