• Przemysław Kluj, Dawid Aleksandrowicz, Waldemar Machała, and Tomasz Gaszyński.
• Medical University of Łódź, Poland: Chair of Anesthesiology and Intensive Care, Department of Rescue Medicine and Disaster Medicine.
• Pol. Merkur. Lekarski. 2015 Sep 1;39(231):186-90.

AbstractHemostatic 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.© 2015 MEDPRESS.

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