The Effects of QuikClot Combat Gauze and Movement on Hemorrhage Control in a Porcine Model

医学 麻醉 凝血时间 外科 血压 血小板 内科学
作者
Brian Gegel,James Burgert,John Gasko,C.G.H. Campbell,Mark G. Martens,Joseph Keck,Harmony R. Reynolds,Michael Loughren,Don Johnson
出处
期刊:Military Medicine [Oxford University Press]
卷期号:177 (12): 1543-1547 被引量:39
标识
DOI:10.7205/milmed-d-12-00165
摘要

The purpose of this study was twofold: (1) to examine the effectiveness of QuikClot Combat Gauze (QCG) compared to a control group and (2) investigate the effect of movement on hemorrhage control when QCG is employed. This was a prospective, experimental design employing an established porcine model of uncontrolled hemorrhage. The minimum number of animals (n = 11 per group) was used to obtain a statistically valid result. There were no statistically significant differences between the groups (p > 0.05) indicating that the groups were equivalent on the following parameters: activating clotting time, the subject weights, core body temperatures, amount of 1 minute hemorrhage, arterial blood pressures, and the amount and percentage of total blood volume. There were significant differences in the amount of hemorrhage (p = 0.018) and the number of movements (p = 0.000) between the QCG and control. QCG is statistically and clinically superior at controlling hemorrhage compared to the standard pressure dressing control group. Furthermore, it produces a more robust clot that can withstand significant movement. In conclusion, QCG is an effective hemostatic agent for use in civilian and military trauma management.
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