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Here is usage info for Quick clot.
It is not apporved for use here in Canada at this time, but selected medical personnel are allowed to use it.
See dicussion here:
http://forums.army.ca/forums/threads/26415/post-167526.html#msg167526
Posted for info only, this does not enititle you to acquire it or use it. (edited for readability)
http://www.chinookmed.com/qc_training_procedures.pdf
Procedures for First Responders'application of
QuikClot® hemostatic agent
December 28, 2004
LABEL INFORMATION
§QuikClot®
Adsorbent Hemostatic Agent
Controls moderate to severe blood loss by promoting coagulation
Supplied by:
Z-Medica
4 Fairfield Blvd., Wallingford, CT, 06492
For Emergency Use Only & For External Use Only
as a Temporary traumatic wound treatment to stop moderate-to-severe bleeding
What is QuikClot® hemostat, how does it work, and why use it?
§ QuikClot® hemostat is a derivative of volcanic rock that is laboratory
recreated and acts as a selective sponge. It is chemically inert and works
from physical, not chemical, action. QuikClot® hemostatic agent does not
absorb into the body but is safe to leave in the wound for as long as
necessary. Fluid molecules are adsorbed by the QuikClot® hemostat
granules. This causes rapid localized coagulation and the formation of a
stable blood clot in a variety of wounds.
§ For emergency response professionals, the most significant use
of QuikClot® hemostat is to stop traumatic bleeding. Achieving hemostasis
helps to stabilize the patient and provides a longer time-window to transport
the patient to further medical treatment.
§ QuikClot® hemostat is typically used upon determination that conventional
methods have been inadequate to stop bleeding.
Protocol procedures for QuikClot® hemostat :
§ ...are supplemental to the standard operating procedures of your
local and state emergency response guidelines.
§ ...are to be used with the guidelines of your formal emergency
medical technician training and your State's prescribed priority
procedures for emergency medical services.
§ ...can be used as supplement standard BLS (Basic Life Support)
Guidelines, which include Assessment, Major & Multi-system
Trauma, Amputations, and Musculoskeletal injuries.
§ ...may be incorporated into standard EMT/EMS therapies as an
adjunct for injuries where other methods fail to achieve hemostasis.
1. Apply direct, firm pressure to wound using sterile gauze dressing or best
available substitute.
2. If bleeding is stopped or nearly stopped after 1 minute of pressure, wrap
and tie bandage to maintain pressure on wound and seek medical care.
3. To prevent burning from exothermic reaction, assure area around wound
is dry and free from water droplets. (See Addendum B)
4. If moderate to severe bleeding continues after 90 seconds, hold
QuikClot® hemostat package away from face and tear open at tabs.
5. Remove previously applied bandages making certain to
wipe away as much excess blood and liquid in wound area
as possible. (See addendum of special precautions.)
6. Immediately begin a gradual pour (DO NOT DUMP) of QuikClot®
hemostatic agent in back-and-forth motion onto source of bleeding (see
Addendum C). QuikClot® hemostat changes from its dry light beige color
to a dark color as it adsorbs moisture and performs clotting.
Training Procedures
Continued...
Also see package directions
7. Stop pouring promptly when you see a dry layer (original lighter color)
of QuikClot® hemostatic agent on wound indicating that there is no
more blood to adsorb.
8. Immediately reapply direct pressure for one to two minutes, then wrap
and protect area with compression bandage, or best available
bandage to maintain pressure.
NOTE: As some heat may be released from wound while QuikClot ® hemostat performs its
coagulation, protect hands with gauze or similar insulating material while applying
pressure.
9. Transport patient as soon as possible to medical facility.
10. Be certain QuikClot® hemostat package accompanies patient so
physician or medical staff can follow directions to remove QuikClot®
hemostat properly.
Training Procedures (cont'd.)
Conditions such as those that can occur with the following
types of wounds may require more attention:
§ Sucking chest wounds: Use particular care around sucking
chest wounds to prevent QuikClot® hemostat from being
aspirated into lungs.
§ Spurting blood from small diameter wounds such as small -
caliber 'entrance-only' bullet wounds require more careful
evaluation and treatment, since the source of bleeding may not be
at the same location, see Addendum A.
§ Head and scalp wounds produce profuse volumes of blood that
can cause discomfort from exothermic reaction during application
of QuikClot® hemostat, see Addendums B & C.
Patient Precautions - Certain Conditions
§ Do not ingest or inhale QuikClot® hemostat.
- If ingested, drink two or more glasses of water and seek
medical help.
- If inhaled, move to open air or a well-ventilated space.
§ Keep away from face when opening or pouring.
§ Do not use bare hands to apply pressure immediately following
application of QuikClot® hemostatic agent .
§ If adsorbing granules cause heat discomfort to skin, promptly
brush away and/or flood with water.
§ Sterility not guaranteed if package is damaged or opened. Safely
discard damaged open packages.
§ Keep away from children.
Caregiver Precautions
§ The caregiver should be aware that continuously spurting blood
from a small diameter puncture wound can create a high pressure
exit path. The source of such bleeding may be too far away from
the entry point for QuikClot® hemostat to be effective.
§ For small diameter entry wounds use particular care to slowly and
gently pour QuikClot® hemostat onto wound to avoid exothermic
reaction and follow standard application directions.
While there is a certain amount of thermal reaction when treating a bleeding wound, there is measurably more
thermal reaction in the presence of water. Thus to reduce possibility of excess thermal reaction, attempt to
remove supplemental moisture on or near the wound prior to applying QuikClot® hemostat.
§ As QuikClot® hemostatic agent adsorbs fluid molecules, energy
in the form of heat can be released. This temperature spike is
very short in duration (see Addendum B).
§ The thermal increase is directly proportional to the ratio of
QuikClot® hemostat granules to the volume of blood. Care
should be taken when applying QuikClot® hemostatic agent to
see that the ratio stays below two parts of QuikClot® hemostat to
one part of blood.
§ Following these guidelines may necessitate application of
additional granules should the early amounts of QuikClot®
hemostat fail to achieve hemostasis.
ADDENDUM - C
Nature of exothermic reaction
ADDENDUM - D
Standard package instructions
Basic Instructions for QuikClot® hemostat Usage - Please Read Carefully
Warning - Avoid contact with wet skin. Product reacts with small amount s of water and can cause burning. Stop burning by brushing away granules and
flooding area with large volume of water. If ingested, immediately drink 2 or more glasses of water.
DIRECTIONS - READ BEFORE USE
1 Apply direct, firm pressure to wound using sterile gauze dressing or best available substitute.
2 If bleeding is stopped or nearly stopped after approximately 1 minute of pressure, wrap and tie bandage to maintain pressure on wound and seek
3 If moderate to severe bleeding continues after 90 seconds, hold pack away from face and tear open at tabs.
4 Use wiping motion to remove gauze and excess blood - immediately start a slow pour of QuikClot® hemostat directly onto wound. Stop pour as soon
as dry granules cover wound area. Use only enough QuikClot® hemostat to stop bleeding.
5 Reapply firm pressure to QuikClot® hemostat -covered wound using sterile gauze. Wrap and tie bandage to maintain pressure.
6 Seek MEDICAL CARE immediately. Discard unused granules and show empty pack to medical personnel.
FOR MEDICAL PERSONNEL
1 Remove all loose granules prior to irrigation and wound treatment .
2 Fully flood entire wound area with irrigation solution.
3 Proceed with normal irrigation and/or suction until all granules are removed.
WARNINGS
· Sterility not guaranteed if package is damaged or opened. Discard damaged or open packages.
· Avoid breathing dust or getting in eyes. Dust may irritate eyes, nose, throat and skin. If inhaled, get to fresh air. Flush ey es with water for 15
minutes. Product contains trace amount of quartz.
· Long term biocompatibility has not been determined.
· Keep away from children.
CAUTION - Do not store QuikClot® hemostat packages in direct sunlight.
It is not apporved for use here in Canada at this time, but selected medical personnel are allowed to use it.
See dicussion here:
http://forums.army.ca/forums/threads/26415/post-167526.html#msg167526
Posted for info only, this does not enititle you to acquire it or use it. (edited for readability)
http://www.chinookmed.com/qc_training_procedures.pdf
Procedures for First Responders'application of
QuikClot® hemostatic agent
December 28, 2004
LABEL INFORMATION
§QuikClot®
Adsorbent Hemostatic Agent
Controls moderate to severe blood loss by promoting coagulation
Supplied by:
Z-Medica
4 Fairfield Blvd., Wallingford, CT, 06492
For Emergency Use Only & For External Use Only
as a Temporary traumatic wound treatment to stop moderate-to-severe bleeding
What is QuikClot® hemostat, how does it work, and why use it?
§ QuikClot® hemostat is a derivative of volcanic rock that is laboratory
recreated and acts as a selective sponge. It is chemically inert and works
from physical, not chemical, action. QuikClot® hemostatic agent does not
absorb into the body but is safe to leave in the wound for as long as
necessary. Fluid molecules are adsorbed by the QuikClot® hemostat
granules. This causes rapid localized coagulation and the formation of a
stable blood clot in a variety of wounds.
§ For emergency response professionals, the most significant use
of QuikClot® hemostat is to stop traumatic bleeding. Achieving hemostasis
helps to stabilize the patient and provides a longer time-window to transport
the patient to further medical treatment.
§ QuikClot® hemostat is typically used upon determination that conventional
methods have been inadequate to stop bleeding.
Protocol procedures for QuikClot® hemostat :
§ ...are supplemental to the standard operating procedures of your
local and state emergency response guidelines.
§ ...are to be used with the guidelines of your formal emergency
medical technician training and your State's prescribed priority
procedures for emergency medical services.
§ ...can be used as supplement standard BLS (Basic Life Support)
Guidelines, which include Assessment, Major & Multi-system
Trauma, Amputations, and Musculoskeletal injuries.
§ ...may be incorporated into standard EMT/EMS therapies as an
adjunct for injuries where other methods fail to achieve hemostasis.
1. Apply direct, firm pressure to wound using sterile gauze dressing or best
available substitute.
2. If bleeding is stopped or nearly stopped after 1 minute of pressure, wrap
and tie bandage to maintain pressure on wound and seek medical care.
3. To prevent burning from exothermic reaction, assure area around wound
is dry and free from water droplets. (See Addendum B)
4. If moderate to severe bleeding continues after 90 seconds, hold
QuikClot® hemostat package away from face and tear open at tabs.
5. Remove previously applied bandages making certain to
wipe away as much excess blood and liquid in wound area
as possible. (See addendum of special precautions.)
6. Immediately begin a gradual pour (DO NOT DUMP) of QuikClot®
hemostatic agent in back-and-forth motion onto source of bleeding (see
Addendum C). QuikClot® hemostat changes from its dry light beige color
to a dark color as it adsorbs moisture and performs clotting.
Training Procedures
Continued...
Also see package directions
7. Stop pouring promptly when you see a dry layer (original lighter color)
of QuikClot® hemostatic agent on wound indicating that there is no
more blood to adsorb.
8. Immediately reapply direct pressure for one to two minutes, then wrap
and protect area with compression bandage, or best available
bandage to maintain pressure.
NOTE: As some heat may be released from wound while QuikClot ® hemostat performs its
coagulation, protect hands with gauze or similar insulating material while applying
pressure.
9. Transport patient as soon as possible to medical facility.
10. Be certain QuikClot® hemostat package accompanies patient so
physician or medical staff can follow directions to remove QuikClot®
hemostat properly.
Training Procedures (cont'd.)
Conditions such as those that can occur with the following
types of wounds may require more attention:
§ Sucking chest wounds: Use particular care around sucking
chest wounds to prevent QuikClot® hemostat from being
aspirated into lungs.
§ Spurting blood from small diameter wounds such as small -
caliber 'entrance-only' bullet wounds require more careful
evaluation and treatment, since the source of bleeding may not be
at the same location, see Addendum A.
§ Head and scalp wounds produce profuse volumes of blood that
can cause discomfort from exothermic reaction during application
of QuikClot® hemostat, see Addendums B & C.
Patient Precautions - Certain Conditions
§ Do not ingest or inhale QuikClot® hemostat.
- If ingested, drink two or more glasses of water and seek
medical help.
- If inhaled, move to open air or a well-ventilated space.
§ Keep away from face when opening or pouring.
§ Do not use bare hands to apply pressure immediately following
application of QuikClot® hemostatic agent .
§ If adsorbing granules cause heat discomfort to skin, promptly
brush away and/or flood with water.
§ Sterility not guaranteed if package is damaged or opened. Safely
discard damaged open packages.
§ Keep away from children.
Caregiver Precautions
§ The caregiver should be aware that continuously spurting blood
from a small diameter puncture wound can create a high pressure
exit path. The source of such bleeding may be too far away from
the entry point for QuikClot® hemostat to be effective.
§ For small diameter entry wounds use particular care to slowly and
gently pour QuikClot® hemostat onto wound to avoid exothermic
reaction and follow standard application directions.
While there is a certain amount of thermal reaction when treating a bleeding wound, there is measurably more
thermal reaction in the presence of water. Thus to reduce possibility of excess thermal reaction, attempt to
remove supplemental moisture on or near the wound prior to applying QuikClot® hemostat.
§ As QuikClot® hemostatic agent adsorbs fluid molecules, energy
in the form of heat can be released. This temperature spike is
very short in duration (see Addendum B).
§ The thermal increase is directly proportional to the ratio of
QuikClot® hemostat granules to the volume of blood. Care
should be taken when applying QuikClot® hemostatic agent to
see that the ratio stays below two parts of QuikClot® hemostat to
one part of blood.
§ Following these guidelines may necessitate application of
additional granules should the early amounts of QuikClot®
hemostat fail to achieve hemostasis.
ADDENDUM - C
Nature of exothermic reaction
ADDENDUM - D
Standard package instructions
Basic Instructions for QuikClot® hemostat Usage - Please Read Carefully
Warning - Avoid contact with wet skin. Product reacts with small amount s of water and can cause burning. Stop burning by brushing away granules and
flooding area with large volume of water. If ingested, immediately drink 2 or more glasses of water.
DIRECTIONS - READ BEFORE USE
1 Apply direct, firm pressure to wound using sterile gauze dressing or best available substitute.
2 If bleeding is stopped or nearly stopped after approximately 1 minute of pressure, wrap and tie bandage to maintain pressure on wound and seek
3 If moderate to severe bleeding continues after 90 seconds, hold pack away from face and tear open at tabs.
4 Use wiping motion to remove gauze and excess blood - immediately start a slow pour of QuikClot® hemostat directly onto wound. Stop pour as soon
as dry granules cover wound area. Use only enough QuikClot® hemostat to stop bleeding.
5 Reapply firm pressure to QuikClot® hemostat -covered wound using sterile gauze. Wrap and tie bandage to maintain pressure.
6 Seek MEDICAL CARE immediately. Discard unused granules and show empty pack to medical personnel.
FOR MEDICAL PERSONNEL
1 Remove all loose granules prior to irrigation and wound treatment .
2 Fully flood entire wound area with irrigation solution.
3 Proceed with normal irrigation and/or suction until all granules are removed.
WARNINGS
· Sterility not guaranteed if package is damaged or opened. Discard damaged or open packages.
· Avoid breathing dust or getting in eyes. Dust may irritate eyes, nose, throat and skin. If inhaled, get to fresh air. Flush ey es with water for 15
minutes. Product contains trace amount of quartz.
· Long term biocompatibility has not been determined.
· Keep away from children.
CAUTION - Do not store QuikClot® hemostat packages in direct sunlight.
