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#293463 - 09/17/19 09:52 PM celox and other blood clotting
teacher Offline
Old Hand

Registered: 12/14/05
Posts: 888
Does a civilian FAK need blood clotting gauze/ powder/ sponge?

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#293467 - 09/17/19 11:29 PM Re: celox and other blood clotting [Re: teacher]
EMPnotImplyNuclear Offline
Enthusiast

Registered: 09/10/08
Posts: 356
Hi,
I dont think I've seen one of those in the 2-3 kits I've looked inside smile

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#293468 - 09/17/19 11:40 PM Re: celox and other blood clotting [Re: teacher]
hikermor Online   content
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 7198
Loc: southern Cal
I don't think they are really all that critical. My experience (something like 200 SAR events where serious bleeding was involved) is that direct pressure works just fine. I think we used pressure points a time or two. One of these events involved a virtual arm amputation. For that matter, I don't think we even applied a tourniquet.

Due to the inevitable lag in response time, I believe there were instances where the victim had bled out by the time aid reached the scene.

I don't stock celox or equivalent in my kits. It would perhaps be different if treating in a combat situation.
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Geezer in Chief

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#293470 - 09/17/19 11:55 PM Re: celox and other blood clotting [Re: teacher]
Phaedrus Offline
Carpal Tunnel

Registered: 04/28/10
Posts: 2541
Loc: Big Sky Country
I have used it perhaps half a dozen times. It's convenient, fast and effective but usually more of a convenience than a necessity.
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“You can tell whether a man is clever by his answers. You can tell whether a man is wise by his questions.” Naguib Mahfouz

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#293600 - 09/28/19 05:20 PM Re: celox and other blood clotting [Re: teacher]
pforeman Offline
Member

Registered: 04/23/08
Posts: 171
Loc: Iowa
When I've been involved in delivery of 1st Aid training, it gets mentioned but not as something that is necessary to have. With that said, several prepackaged kits contain it and it is a good idea to know about it.

Some good info from the web:
https://www.wemjournal.org/article/S1080-6032(16)30287-3/fulltext
https://www.realfirstaid.co.uk/haemostatics
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4869418/

If you do have it and use it - it's good advice to be sure to keep the packaging with the patient so those providing advanced care know what has been used. Also there are cautions with it as there are some situations where it should not be used.

Getting the basic training and having good old fashioned dressings and bandage material to use with direct pressure and in extremums a tourniquet (that you know how to use) should be the key gear to have for most situations. YMMV and everyone should tailor to their own needs, conditions and experience.

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#293603 - 09/28/19 06:56 PM Re: celox and other blood clotting [Re: teacher]
Treeseeker Offline
Member

Registered: 03/29/12
Posts: 180
Loc: California
I carry Celox but it is because I have to take a blood thinner due to heart issues. Celox is a fairly inexpensive insurance; $15.95 for 5 packets (on Amazon). That is $3.19 per packet.

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#293604 - 09/28/19 07:08 PM Re: celox and other blood clotting [Re: teacher]
gonewiththewind Offline
Veteran

Registered: 10/14/08
Posts: 1517
If you use a clotting agent, you really need to let any paramedics/first reponders/doctors know.

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#293605 - 09/28/19 07:26 PM Re: celox and other blood clotting [Re: Treeseeker]
hikermor Online   content
Geezer in Chief
Geezer

Registered: 08/26/06
Posts: 7198
Loc: southern Cal
I am also on a blood thinner. So far, no major hemorraghing but direct pressure has been quite effective in the incidents I have experienced.

My physician has not suggested that I carry coagulants and he is rather conscientious and painstaking.
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Geezer in Chief

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#293628 - 09/29/19 03:18 PM Re: celox and other blood clotting [Re: teacher]
chaosmagnet Offline
Sheriff
Carpal Tunnel

Registered: 12/03/09
Posts: 3314
Loc: USA
It's worth saying that I'm not an expert in medical matters, but I'm repeating what the experts have told me.

For non-life-threatening injuries, I view hemostatic agents as a convenience, not a necessity.

For potentially life-threatening injuries, the sponge is next to useless. The powder/granules can work but hard to use correctly. The gauze is where it's at, as you can pack a wound with it to get the benefit of the hemostatic agent and pressure.

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#293854 - 10/14/19 05:34 AM Re: celox and other blood clotting [Re: teacher]
Alan_Romania Offline

Addict

Registered: 06/29/05
Posts: 626
Loc: Arizona
Required? No. Recommended? Yes.

With modern hemostatic impregnated gauze there is pretty much no negatives to their use. The benefit: anything we can do to keep as much blood inside the body is a good thing. Hemostatics can be an important adjunct towards that goal in some circumstances. Especially when solo or short handed, hemostatics are time-savers in circumstances where seconds matter.

If you spend a lot of time solo in the back-country, or you are exposed to high-risk activities; you should consider carrying hemostatics in your IFAK.
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"Trust in God --and press-check. You cannot ignore danger and call it faith." -Duke

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