At this time, the U.S. military has more experience with combat
tourniquets than any military force in history…
nor ChitoGauze have been tested in the USAISR hemostatic
safety model described by Kheirabadi. 13 The U.S. military
also does not have as much successful experience with these
two agents as it has with Combat Gauze. For these reasons,
the two agents are recommended by the CoTCCC as backup
choices to Combat Gauze.
Never in its long and distinguished history has the U.S. military
been so successful at saving the lives of individuals wounded
in combat. Many dedicated professionals in the Military
Health System have played key roles in bringing about the
highest casualty survival rate in history: our courageous
combat medical personnel, who perform amazing feats of
medical care in the midst of the battle; the helicopter evacuation crews, who willingly risk their lives over and over to
evacuate our casualties to safety; the superbly skilled surgical and intensive care teams in our hospitals; the Critical
Care Air Transport Teams that fly desperately ill casualties
thousands of miles to higher levels of care; the rehabilitation specialists, who enable our casualties to maximize their
recovery of life skills and function despite their injuries; and
finally, the professionals at the Joint Trauma System, who
work ceaselessly to provide oversight of the entire system
and make it function smoothly. To all these men and women,
our nation owes a great debt.
Because most combat fatalities occur in the prehospital
phase of care, our nation’s combat medical providers play an
especially important role in ensuring the highest casualty-survival rate possible. The TCCC has given these individuals
a vastly improved set of tools and skills to better accomplish
their heroic and lifesaving deeds on the battlefield, and tourniquets and hemostatic dressings are now a permanent fixture in
their aid bags. ♦
13. Rhee P, Brown C, Martin M, et al. QuikClot
use in trauma for hemorrhage control: case
series of 103 documented uses. J Trauma.
14. Kheirabadi B, Mace J, Terrazas I, et al.
Safety evaluation of new hemostatic agents,
smectite granules, and kaolin-combat
gauze in a vascular injury wound model in
swine. J Trauma. 2010; 68( 2):269-278.
15. Ran Y, Hadad E, Daher S, et al. QuikClot
combat gauze for hemorrhage control
in military trauma: January 2009 Israel
Defense Force experience in the Gaza
Strip—a preliminary report of 14 cases.
Prehosp Disaster Med. 2010; 25( 6):584-588.
16. Rall JM, Cox JM, Songer A, et al. Naval
Medical Research Unit San Antonio.
Comparison of novel hemostatic gauzes to
QuikClot combat gauze in a standardized
swine model of uncontrolled hemorrhage.
Technical Report 2012–22. March 23, 2012.
Available at: www.medicalsci.com/files/
sa_tr_2012–22.pdf. Accessed July 15, 2013.