Combat Gauze Causes Blood Clots
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- Опубликовано: 14 дек 2016
- I get asked alot about combat gauze causing blood clots. I will discuss the uses and the risk of blood clots in this video to help you better understand.
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It is for situations where if you don't use it, the patient won't live long enough to have a stroke or heart attack.
16 year to date professional firefighter-paramedic with 10 years to date as a decorated SWAT medic. I have been through multiple TCCC, LETTC and TEMS courses in my career, function as a B-CON (Bleeding Control) Instructor for civilians and first responders, as well as a QuikClot Instructor. Combat gauze has been proven in nearly every civilian and military study to be the most effective hemostatic agent available. The Kaolin impregnated gauze, has no comparison. The risk of myocardial infarction or embolism as a result of using Combat Gauze is highly overblown if not lunacy. "In the The Journal of TRAUMA® Injury, Infection, and Critical Care , (Volume 68, Number 2, February 2010), the kaolin gauze was found to be as safe as standard surgical gauze."
Thank you for information, I will look the study up.
Our team ditched all of our Celox a few years ago and now the only hemostatic gauze we carry is Combat Gauze. Repeatedly in military studies, QuikClot has shown to be the most effective and safest. I have done a video on some of the science behind it. It is limited, however does show some.
Science!
Imagine
“dude your bleeding out im going to pack your wound with combat gauze!”
“Are you crazy dude! I could get a blood clot! Get out of here!”
Good solid info. Thanks for talking about this brother!
Seconded, but.. Oh my gosh that's a Lot of times he says Oh my gosh that's a Lot of Blood.. :) Just teasin.. I also think, too, you could Reduce the incidence of, say, 'Celox' granules / clots getting into the blood stream, by, first, making like a 'gauze trap' in the wound, ie: Open up a 4x4, pack in gaping wound (so it's 'netted', internally..) pour in celox, etc, add more gauze / pressure bandage / wrap, etc.. Or, sure, just buy CombatGauze ;) but say for when you are Out / all you have is the 'granular' types, Celox, etc.. Just dos centavos..
Great video, thanks for the information.
Another informative video.. Keep them coming. Looking forward to the course in February.
right on Bro.. good too see ya again
Good info. I like the blooper at the end.
Good information. Learned something new again. Keep the videos coming 👍🏻👍🏻
Awesome!
I'm on blood thinners because of blood clots and that's why I chose to include some of these products in my med kits. I'll take the chance of getting another clot, but I have to live through the bleeding incident 1st to worry about it. Hopefully I make it to the hospital and the Drs. can sort it out. Thanks for the info.
Hi Tyler If youre on blood thinners, consider a Chitosan based agent like Celox. If you are carrying Combat Gauze, understand that it works to enhance Factor X of the Coagulation Cascade to speed up the clotting process. If you are on blood thinners, chances are the medication you are taking is going to inhibit Factor X or Xa or some of the others in the cascade. This mades the CG less effective. Celox and the other Chito-based agents work on a different mechanism of action not involving the coagulation cascade.
Solid info, thank you!
Lol, I love the outtakes. I love what you said about red blood cells. Thanks for continuing to make great videos bro.
You should check out my website shop.skinnymedic.com
Yeah, if you have to use them, you're past the "are you allergic to dandylions?" stage. Get the wound to stop bleeding by any means is the name of the game.
The use of hemostatic agents are used to stop massive hemorrhages in trauma victims to get them to the hospital where trauma doctors/surgeons can take over the care. In those patients they will most likely be in medical centers for days at the minimum where if a clot/embolism should happen rapid treatment can be done rapidly. Pre hospital care is just that to get them to the hospital where doctors/surgeons can effectively manage/treat/repair the medical issue.
Good points , proper use is the key
Great video! I had a Quik Clot in my backpack but fortunately I never had to use it.
Thanks Skinny. great video.
live4wild What is Anderson Cooper doing in the south?
Great explanation.
Thank you! As a heart attack victim (twice) I was wondering if that product could cause another heart attack. You answered my question exactly.
"Oh my gosh" thanks for the great video!
I love these vids.
Thank you for the video.
Cool discussion.
Great video
Good info.
Take a shot 🥃 every time he says
"Oh my god that's a lot of blood"
Oh my god that's a lot of booze
I'm drunk but loving it then
Just my $.02 but let's say your patient has a severed femoral artery. Nothing is going to enter the outflow (proximal) end because of the blood pulsing out.
The inflow (distal) end of the artery is going to retract and pretty much close so there is little chance of anything entering.
I guess if it's just partially severed maybe something could enter but you're probably not going to be able to tell all that in the field.
If my patient or I are going to bleed out I'm using it.
It's in all my kits.
Oh, btw, I'm an EMT.
Love your videos and recommend them to everyone I can
#SkinnyMedic Great video, love the explanations you give man! I am not a medical or combat professional, but I want to have the proper medical supplies in case something does happen. Seems like there is a lot of debate regarding Celox vs Combat Gauze. Which in your opinion is the better one for a civilian to have in a trauma kit?
I appreciate you making this video. I am Factor V Leiden deficient and had a crushing leg injury that led me to have DVT's fairly regularly in my left leg. I've often wondered how quick clot would work on me given that I'm on warfarin and what the effect might be. thanks for the video and helping keep everyone safe.
Stephen B I hope thats with your leg is now ok
stay safe
Bi Commander Thanks all is good. it's been 8 years and hasn't killed me yet.
:D
Keep using it, lol - most definitely! After all, it's only used for "oh my God that's a lot of blood!!" scenarios.
Thank you.
Thank you for watching!
Great info, any chance you could do a video for arborists on chainsaw wounds? If we get cut while hanging in a tree, medically what is the right procedure given the movement and time constraints, etc. Better to fix on the spot or bail and then fix on the ground before we black out? Sounds nuts but I always wondered if a cut to the leg or upper body would make me pass out before I could get to the ground. I have a small quick clot and tourniquet in the tree- but wondered if it's worth taking the time to stop the bleeding or risk getting stuck up there upside down or whatever and just bleed out anyway. There are a lot of folks in the Arborist community who would appreciate your perspective on the topic. Thanks for a great channel and your service!
judgement call depending on how quick you can get down and if anyone is down to come get you if you can't get down and pass out... if no one's there, get down, because a passerby civilian won't figure out how to get you but may know cpr to keep you until medics arrive. Just be safe and walk away if needed
Good to know - don't use unless its a matter of life or death because there could be unintended consequences.
Combat Gauze and a tourniquet are the next two items on my list, but there are some things I've often questioned. For example, a chest seal wouldn't saran wrap work just as good? Two, a tourniquet wouldn't anything you can wrap around tight to cut off blood flow work as well? Like a belt. I'm no medic and have no experience in healthcare other than being a patient from time-to-time, but some stuff I think is a way to make a dollar:) Love your videos and information..
The reason a commercial tourniquet is far better than an improvised tourniquet is the mechanical advantage provided, and the testing behind them. The most common type are windlass tourniquets, like the CAT and SOFTT-W, where the twisting of the windlass translates into compressing force on the limb. However, an improvised tourniquet made by simply pulling on a belt will only provide as much compressing force as you are actively applying. If you are caught without a commercial tourniquet, you can improvise a tourniquet, you just need to be a little picky with material selection. Skinny medic has a video on it. ruclips.net/video/OxPd6t8yptE/видео.html
On the topic of chest seals, you can make a chest seal out of all kinds of stuff, like petrolatum gauze, the plastic packaging on gauze, a gloved hand, duct tape, honestly quite a lot of things, but results may vary. A purpose made chest seal, however, is ideal for a few reasons. One, if its vented, that may help to relieve pressure in the chest by acting as a one way valve, letting air out, but not in. You can accomplish this with the materials I mentioned above, but a correctly applied chest seal may have an easier time of this. Second, commercially made chest seals are pretty dang sticky. On a patient who may be covered in fluids of various origins, no matter how much you try and wipe the area, you'll still want every bit of adhesion. In addition, they're really good at staying stuck on hairy chests. Tape and some petrolatum gauze still works, but if you can afford it, a set of chest seals is a good idea. Saran wrap doesn't seem all that great unless theres some sort of backer, so if you're that desperate for something to seal a chest wound, look for other options first.
2020 you are the best thank you
Get out
How about the old Boy Scout method of potassium permanganate powder? I know it is a very strong oxidizer as we use it at work and burns like heck if it gets in a small cut. I have never used it other than disinfection of water, manganese and iron removal. What's your take on it use?
Control hemorrhage first, outweighs the chance of heart attack or stroke. The mass blood loss will probably kill someone before the MI or CVA will. The only problem I have seen is the overuse, or using it when it's not necessary. Thanks for the great video.
Two thumbs up..
I think you might have missed the concern. Long term effects. As in weeks or months later there might be clumps of this floating around and get stuck somewhere. I think that’s the question some people have. Not the immediate myocardial infarction risks. Oh, by the way, thank you for the glut of knowledge you provide. It’s invaluable.
So, I know shoulders and groin are places you might use combat gauze. But would it be appropriate for the neck, as well? If so, how would the granules compare to the gauze, in a neck wound?
Depends on the neck since air might be coming out the neck and not going to the lungs the best thing you want to do is place a plastic over the wound or glove hand so that the air can stop exiting the wound and go out through a small portion . It helps so that respiratory problems don't start causing a major issue.
Angel Perez your missing one very important part AIR EMBOLISMS your going to need to use a occlusive dressing on the neck air can go out but can’t make its way in if you get a air embolism you got a fucking problem and it can happen from a neck wound which is WHY you use a occlusive dressing
My brother was in BC a few years ago and had a big gash in his leg, the medical personnel at the track used a quick clot and it caused my Brother to walk with a cain for a year while the blood clot healed and healed the damaged tissue. So think before you use.
kylebike128 at least he was able to walk.
Can you use expired pads like these and how effective would they be??
Hey skinnymedic looking at building a trauma kit but my family members are on blood thinners and history of blood pressure issues but others are allergic to shellfish which hemostatic gauze should I use?
Rather die to a blood clot in a hospital than die from exsanguination in the field.
I can say if you are in a situation where you think you should be using the gauze and you are looking at a good chance it is a life threating wound. I risk of blot clots killing your patient is far less than the chance of them bleeding out if you are presented in that level of trauma. Do what you can to save them now and let the hospital fix the blood clots.
Is their any specific type of catheter used in the treatment of other traumatic chest injuries besides a tension pneumothorax, such as a hemothroax or a cardiac tamponade?
can you do a vid of how you would perform a rapid trauma assesment on an unconscious person?
MrJerry160 better yet on Jan 28th in South Carolina he has a class about it. It's only 100$
If you haven't already, it'd be good to take a first aid class from the Red Cross or American Heart Association if they do any nearby you. They don't usually go into incredible depth on traumatic bleeding in a basic first aid class (I imagine since that's typically one of the least likely scenarios you'll run into in daily life), but they do teach procedures for assessing an injured person, what to do if they're unconscious or non-responsive, if they're not breathing, etc.
Generally speaking, if the person isn't breathing, you start in with CPR first and foremost. If the person is unconscious but breathing and you see a lot of blood, identify the wound and stop the bleeding.
Red Cross offers a course in many localities *"Wilderness Emergency Response."* Covers a wide range of medical challenges starting from the basics of patient assessment through several types of CPR (infant, juvenile, adult, team) bleeding control, reducing fractures & dislocations, hypothermia/heatstroke, wound management, frostbite, splints... It's pretty darned comprehensive. Preps you for dealing with a lot when you're days or even weeks away from regular EMS/hospital facilities.
well I’m on thinners 63 yrs young, A fib, its all good I’d use it in an emergency and deal with what comes at least I’ll be alive to deal with it
YOu need to check out the HEMO-bandage, achitosaan based bandage but for packing not for ligation. We will showcase it in upcoming SOMSA 2017 at Charlotte, NC USA. This is our third year to attend. Interested, please show up and claim for your own sample.
The latest concerns are the active ingredient, Kaolin, causes a factor XII coagulation cascade (which it is intended to do), which can be problematic in that it may lead to more cases of consumptive coagulopathy/disseminated intra vascular coagulation. With this in question, a closer look is being taken at hemostatics that utilize Chitosan, which forms a pseudo clot, without activating the clotting cascade.
Do the granules offer less chance of a blood clot over this gauze?
If you have to use it, it means the patient will die sooner from blood loss than a blood clot...
Pack the wound to stop the casualty from bleeding out, let the pros worry about the rest
Use it to clot and stop bleeding, then take person to hospital and they can administer blood thinner if needed to prevent stroke or heart attack?
Why when i buy it i have to click a button saying im a licensed medical professional and it is to be used under RX only. WHy ?
In short: life over limb.
Not sure how it increases risk of a thromboembolism if its only applied locally to a hemorrhage?
O MY GOSH . . . THATS ALOT OF BLOOD . . .
Low risk... USE IT!
Pal, Are you in SOMSA today? Sorry to miss you. But, do stop by our booth at 1115 so we can update you of latest development of those hemostatic agents. See you, Teeming
What about using hemostatic gauze on head injuries. They tend to bleed a lot. Ik ambulances will use combat gauze on the head but they prob have protocols
But in case you are not sure, better do something than not ? ( I mean in case of massive bleeding )
Why do you buy this? Can't find on amazon
medicalgearoutfitters.com/collections/hemostatics/products/quikclot-combat-gauze
What about using combat gauze vs an Israeli bandage or both?
Hey SkinnyMedic, I have a quesion. The Isreali bandage I carry every day just lost its vacuum seal. Should I ditch it an buy a new one because it can not be considered sterile anymore or can is still use it?
Viner Cent
I would buy a new one just because how cheap they are. Open the non-sterile one and use it to practice applying the bandage. Its still 100% usable in its non sterile form, but for 7-10 dollars its not a big deal to buy another. You can always toss in in your ifak/edc as a backup incase you need more than one.
I've thought about this issue, too. My thought is that once you've been cut badly enough to need an Israeli bandage, or shot, all sterility is gone anyhow and you will be treated for infection. They are cheap, but I'd still keep it in service. Using it for training is a good alternative.
Hi, Viner:
When did you get your Israeli bandage?
All such package would be double packaged. Please take a look of the bandage inside, there should be another white package sealed it. If not, should consider changing a new pack.
Teeming
I bought it beginning of 2016. I actually got two to practice with one, and the one I practiced with was only "wrapped" with a big plastic foil inside of the vacuum package. I allready got a new one, I was hesistant because they are kind of hard to get to germany but somebody recommended me medtree in the UK, and that is fine. Thank you for your answer!
Germany? Ich kaufe meine bei opsbase.de. Gar nicht hard to get. :)
Just my humble opinion here.... If I'm a responsible first responder, I'm make damn sure whoever I pass the injured person off to understands that I've used combat gauze and that they need to track the patient for possible clots during recovery.
Folks, I am really confused. Why does QuickClot have a 5-year Expiration date on a heavy foil pouch?
*My reaction is Double-yew Tee-EFF? It’s a MINERAL! If a little heat can decompose it, THAT can happen overnight, in a month, in a year. Why Five Year Expiration?* Anyhow, the articles I’m reading indicate that a temperature of 450º CENTIGRADE is needed to drive off the water molecules bound up in Hydrated Aluminum Silicate. It’s a pretty stable chemical.
But just plain Aluminum Silicate (minus the water component) is used in lots of OTC medications - antacids and anti-diarrheals, lotions for infant diaper rash & poison Ivy & poison oak. Studies by universities & the military have demonstrated conclusively that many anti-biotics - for comparison, much less stable than the Kaolin - stored in typical hospital conditions, retain MOST of their medical potency for more than a decade after the indicated expiry date. Is the anhydrous form more of a problem if it gets into the bloodstream? Anyone have further medical perspective?
Good research. The "expiration" date is most like the liability expiration date and not the product expiration date. So use it after and it will probably work, but if it doesn't you can't sue them.
Die for sure if you don't use it, or take a small chance and use it. Not a hard decision. Thank you for the video
oh my gosh thats alot of blood.
What should we do for major abdominal wounds if we shouldn't wound pack there? Just wrap up the wound? Genuinely curious; I need to take a medical class actually.
clamum I’d say use a chest seal for major wounds within the rib cage area and then wound pack/pressure/wrap for wounds beyond that.
@@xaxsimplexescapex Like what about a major wound (gunshot or deep laceration, say) in the stomach area? I was just wondering why we're not supposed to wound pack.
On a side note, what's the best way to look up first aid classes near you, the Red Cross? I looked on Skinny's forum and there was only one Michigan post from a couple years ago (and that was in Indiana).
Do the hemostatic agents expire?
You should replace Hemostatics every 5 years in every day duty. But you could stretch that to 8-10 in a temperature controlled case out of sunlight.
I'm not a huge proponent of poop hitting fan scenarios, but let's say we're in a situation where there will be no definitive long term care in proper facilities by highly trained medical personnel. I have read something about these granules having to be cut out by doctors or such once a patient reaches said facilities. I wonder, can't I just use standard sterile gauze instead of this clotting agent impregnated stuff...I'm not trained, so I don't know...I was just thinking that with enough pressure for enough time, the body will naturally clot the wound...yes?
Charles Coffman that was with the old style quikclot granules. That stuff was made with a different type of mineral. The modern quikclot combat guaze this shouldn't be an issue. At the most it's just a matter of fishing out all of the guaze before stitches. Normal guaze will work however it will not work as efficiently and you will still need a surgeon to fish out all the guaze before they stitch you up.
kaolin clay is the hemorrhage controlling agent in these bandages?
lonestarprepper01 yes
Certainty of bleeding to death in 2 minutes vs. remote possibility of stroke, your choice sir.
wtf all the exposure you get and folks still don't care. all these alpha couch operators just assume they will be the winning aggressor I suppose
You guys need to check out the HEMO-bandage, a chitosan based woven bandage. It is for packing not for ligation. We will showcase it in upcoming SOMSA 2017 at Charlotte, NC USA. This is our third year to attend SOMA. Interested, please show up and claim your own sample.
I know of something else that can cause blood clots...
😂
wtf 2 min 30 sec in still no answer babbling on and i close the video and leave a mean comment CYA
Next time unpack these things and show how they are used
There are other videos where he unpacks one and illustrates its use.
ruclips.net/video/8YUWbYgGyzk/видео.html
Wound Packing video ruclips.net/video/6np3RvDAWug/видео.html
Other than following you around, I don't think he can do any more for you.
"Combat gauze causes blood clots"
Is that not the point?
Kai W. it is. it slows down the bleed
OMG, that's a lot of blah. 4.5 minutes on topic that could be covered in 30sec.
Great video. Thanks for the info.