Quikclot use in trauma for hemorrhage control: Case series of 103 documented uses

Peter M Rhee, Carlos Brown, Matthew Martin, Ali Salim, Dave Plurad, Donald Green, Lowell Chambers, Demetrios Demetriades, George Velmahos, Hassan Alam

Research output: Contribution to journalArticle

139 Citations (Scopus)

Abstract

BACKGROUND: Local hemostatics have recently been introduced for field use to control external hemorrhage. The objective of this report is to describe the initial clinical experience with QuikClot, a zeolite that works by absorbing water and concentrating coagulation factors to stop bleeding in a series of patients. METHODS: Documented cases using a self-reporting survey sheet submitted by the users and first-hand detailed interviews with the users when possible. RESULTS: There were 103 documented cases of QuikClot use: 69 by the US military in Iraq, 20 by civilian trauma surgeons and 14 by civilian first responders. There were 83 cases involving application to external wounds and 20 cases of intracorporeal use by military and civilian surgeons. All field applications by first responders were successful in controlling hemorrhage. The overall efficacy rate was 92% with eight cases of ineffectiveness noted by physicians in morbid patients with massive injuries when the QuikClot was used as a last resort. These reported failures were thought to be a result of the coagulopathic state of the patient from massive resuscitation or the inability to get the product directly to the source of hemorrhage. When the QuikClot was applied on responsive patients, the heat generated by the exothermic reaction caused mild to severe pain and discomfort. There were three cases of burns caused by the heat generated by the QuikClot application with one case requiring skin grafting. There was one major complication from intracorporeal use caused by scar formation from a foreign body reaction. CONCLUSIONS: QuikClot has been effectively used by a wide range of providers in the field and hospital to control hemorrhage.

Original languageEnglish (US)
Pages (from-to)1093-1099
Number of pages7
JournalJournal of Trauma
Volume64
Issue number4
DOIs
StatePublished - Apr 2008

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Hemorrhage
Wounds and Injuries
Hot Temperature
Mobile Health Units
Foreign-Body Reaction
Zeolites
Iraq
Skin Transplantation
Blood Coagulation Factors
Hemostatics
Burns
Resuscitation
Cicatrix
Interviews
Physicians
Pain
Water
Surgeons

ASJC Scopus subject areas

  • Surgery

Cite this

Rhee, P. M., Brown, C., Martin, M., Salim, A., Plurad, D., Green, D., ... Alam, H. (2008). Quikclot use in trauma for hemorrhage control: Case series of 103 documented uses. Journal of Trauma, 64(4), 1093-1099. https://doi.org/10.1097/TA.0b013e31812f6dbc

Quikclot use in trauma for hemorrhage control : Case series of 103 documented uses. / Rhee, Peter M; Brown, Carlos; Martin, Matthew; Salim, Ali; Plurad, Dave; Green, Donald; Chambers, Lowell; Demetriades, Demetrios; Velmahos, George; Alam, Hassan.

In: Journal of Trauma, Vol. 64, No. 4, 04.2008, p. 1093-1099.

Research output: Contribution to journalArticle

Rhee, PM, Brown, C, Martin, M, Salim, A, Plurad, D, Green, D, Chambers, L, Demetriades, D, Velmahos, G & Alam, H 2008, 'Quikclot use in trauma for hemorrhage control: Case series of 103 documented uses', Journal of Trauma, vol. 64, no. 4, pp. 1093-1099. https://doi.org/10.1097/TA.0b013e31812f6dbc
Rhee, Peter M ; Brown, Carlos ; Martin, Matthew ; Salim, Ali ; Plurad, Dave ; Green, Donald ; Chambers, Lowell ; Demetriades, Demetrios ; Velmahos, George ; Alam, Hassan. / Quikclot use in trauma for hemorrhage control : Case series of 103 documented uses. In: Journal of Trauma. 2008 ; Vol. 64, No. 4. pp. 1093-1099.
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