Post by Gentner on Aug 4, 2013 15:37:23 GMT -5
Now on to why I don't carry a Hemostatic(QuickClot/CELOX):
a. packing the wound fully takes time. Time is the enemy of EMS.
b. maintain manual pressure for 2-3 minutes on the wound site before applying a dressing. Again, time is the enemy of EMS.
c. In the case of granulated hemostatic it is a nightmare to debride from a wound. If a Patient needs life saving surgery even more time is lost.
d. It's expensive.
I can much more adequately stop venous and arterial bleeding via a tourniquet. From there I can dress the wound as needed and bandage it up to prevent further mess.
Not to mention that the use of hemostatic agents arent recognized by either Lenawee or Washtenaw counties Medical Control Authority
People tend to forget that yes, although Hemostatic Agents like Quick Clot, Hemcon and Celox all work well to control hemorrhaging in areas where a tourniquet cannot be applied, most civilian agencies do not use these items due to cost and training. In addition, most civilian hospitals dont know how to deal with the removal as these items arent commonly used outside of the Tactical EMS / Military sector. Lenawee and Washtenaw counties are an example of this and thus our Medical Control Authority does not recognize the use of Hemostatic Agents nor do they recognize "Wound Packing" as a viable way to control hemorrhaging. As such, *most* first responders and civilian agencies dont carry Hemostatic Agents. Does it suck? Yes, we know the stuff works from studies and after action reports by military medics and surgeons and were still are not using it. But look from our point of view, Tourniquets are JUST NOW becoming recognized as a safe and reliable way in the civilian sector to control life threatening hemorrhaging after twelve years of war (proof) that they arent the tools of last resort. The civilian sector is slow at catching up to what the Military is doing.
Anyways, nice looking kit and bag. Glad you have some chest seals coming Deacon.