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Ulus Travma Acil Cer · Sep 2017
ReviewTopical hemostatics for bleeding control in pre-hospital setting: Then and now.
- H Erhan Güven.
- Department of General Surgery, University of Health Sciences Gülhane Training and Research Hospital, Ankara-Turkey. drerhanguven@gmail.com.
- Ulus Travma Acil Cer. 2017 Sep 1; 23 (5): 357-361.
AbstractMassive 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.
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