29.2 Hemorrhage Control and Hemostasis

Question 1

Of those with potentially survivable wounds, what percentage die of hemorrhage

Answer 1

90%

Question 2

Which site is the most common cause massive external blood loss in combat

Answer 2

Extremity injury

Question 3

TCCC Approved Tourniquets

Answer 3

(a)Combat Application Tourniquet (C.A.T.)
(b)Special Operations Forces Tourniquet-Tactical (SOFT-T)
(c)Emergency and Military Tourniquet (EMT)

Question 4

TCCC approved Hemostatic Agent

Answer 4

(a)Combat Gauze
(b)Celox Gauze or Chito Gauze
(c)XStat (Best for deep narrow tract Junctional wounds)

Question 5

Which TCCC approved Hemostatic Agent?

1)May be used when combat gauze is not available
2)Active ingredient is chotosan, a mucoadhesive, it functions independent ofthe coagulation cascade
3)Studies have supported that chitosan dressings have been effective in stopping life threatening bleeding for surgical studies

Answer 5

Celox Gauze or Chito Gauze

Question 6

Which TCCC approved Hemostatic Agent?

1)First expanding wound dressing FDA-cleared for life threatening junctionalbleeding
2)Syringe applicator injects compressed mini-sponges into deep wounds
3)Mini-sponges rapidly expand on contact with blood compressing the wound tostop bleeding
4)It is imperative when use that the manufacture card is carried along with the casualty to assist with removal

Answer 6

XStat

Question 7

Junctional wounds refers to the following

Answer 7

(a)Groin
(b)Buttocks
(c)Perineum
(d)Axillae
(e)Base of the neck
(f)Extremities at sites to proximal for limb tourniquets

Question 8

CoTCCC Junctional Tourniquets

Answer 8

(1) Combat Ready Clamp
(2) Junctional Emergency Treatment Tool
(3) SAM Junctional Tourniquet

Question 9

How far should TQ be placed above bleeding site

Answer 9

2-3 inches

Question 10

How long should hemostatic dressings be applied for

Answer 10

at least 3 minutes with direct pressure