Haemorrhage Control Using Quick Clot Haemostatic Dressing

Question 1

Indications quick clot

Answer 1

Uncontrolled haemorrhage from a non-compressible wound site

Any traumatic haemorrhage not controlled with basic haemorrhage control measures such as direct pressure with pad and bandage

Severe limb wounds not controlled by CATs

Multiple casualty scenes where pt numbers dictate simple haemorrhage control measures cannot be individually applied

Question 2

Contraindications quick clot

Answer 2

Bleeding that can be controlled by basic first aid measures

Ocular trauma

If unlikely to reach point of bleeding such as PV/PR/posterior epistaxis

Question 3

Clinical precautions quick clot

Answer 3

None

Question 4

Equipment required quick clot

Answer 4

Quick clot trauma pad or quick clot EMS rolled gauze

Question 5

Prepare equipment quick clot

Answer 5

Remove dressing from packet

For larger wounds use trauma pad

For smaller wounds or multiple small wounds use rolled gauze

Question 6

Application quick clot

Answer 6

If large wound has pooled blood, use standard gauze or combine to wipe it away prior to packing wound

Haemostatic dressing should be packed into the wound, aiming to have contact between dressing and point of bleeding

If there are multiple small wounds, rolled gauze should be unrolled and packed into wounds as compactly as possible

Question 7

Post application quick clot

Answer 7

2-3 mins of direct pressure on pack wound recommended to ensure haemostatic agent is effective

Dressing should not be lifted or removed to check wound

If dressing soaks through and wound is actively bleeding, completely remove and replace with new dressing

If after 2-3 mins haemorrhage has been controlled, secure in place with bandage

Question 8

Active ingredient quick clot

Answer 8

Kaolin

Activates clotting factor XII which assists in initiation of clotting cascade

Kaolin increases rate of coagulation

Used in US military