EXPERIENCE WITH CHITOSAN DRESSINGS IN A CIVILIAN EMS SYSTEM
EXPERIENCE WITH CHITOSAN DRESSINGS IN A CIVILIAN EMS SYSTEM
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DOI：
10.1016/j.jemermed.2007.05.043
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发表时间：
2009-07-01
影响因子：
1.5
通讯作者：
Worley, Joseph A.
中科院分区：
文献类型：
--
作者：
Brown, Mark A.;Daya, Mohamud R.;Worley, Joseph A.
HemCon(R)绷带(HemCon医疗技术公司，波特兰，或俄勒冈州)是一种止血敷料，由壳聚糖制成，壳聚糖是一种从甲壳素中提取的复杂碳水化合物。这项研究的目的是确定HemCon(R)绷带在民用紧急医疗服务系统中的有效性。HemCon(R)绷带被添加到一家消防机构的创伤包中，数据收集自2005年6月1日至2006年8月31日。当常规治疗(压力敷料和纱布敷料)无法控制外部出血伤口或明显动脉出血时，可使用该敷料。护理人员记录了在使用hemCon(R)绷带后止血的时间，以及伤口特征和疑似出血类型。共有37次使用，34例获得了完整的数据。伤口部位累及头部、颈部或面部13例，四肢18例。胸部、腹部和腋下各有一例。绷带止血27/34例(79%)，3min内止血25/34例(74%)。在25/34例中，直接加压最初未能控制出血，19/25例(76%)使用hemCon(R)绷带有效。在7例中，HemCon(R)绷带在10分钟内未能止血。在7次失败中，有6次是因为用户错误。当压力和纱布敷料等传统措施失败时，HemCon(R)绷带是治疗无法控制的外部出血的有效辅助设备。(C)2009年爱思唯尔公司。
The HemCon (R) Bandage (HemCon Medical Technologies Inc., Portland, OR) is a hemostatic dressing made of chitosan, a complex carbohydrate derived from chitin. The objective of this study was to determine the effectiveness of the HemCon (R) Bandage in a civilian emergency medical services system. The HemCon (R) Bandage was added to the trauma kits of a fire agency and data were collected from June 1, 2005 to August 31, 2006. The dressing was to be used when conventional treatment (pressure and gauze dressings) failed to control external bleeding wounds or for obvious arterial bleeding. Paramedics documented time to cessation of bleeding after HemCon (R) Bandage application as well as wound characteristics and suspected bleeding type. There were 37 uses and complete data were available for 34 cases. Wound location involved the head, neck, or face in 13 subjects and extremities in 18 subjects. There was one case each involving the chest, abdomen, and axilla. The bandage controlled hemorrhage in 27/34 (79%) cases, 25/34 (74%) within 3 min of application. In 25/34 cases, direct pressure had initially failed to control bleeding and the HemCon (R) Bandage was effective in 19/25 (76%). The HemCon (R) Bandage failed to stop bleeding within 10 min in 7 cases. User error was a factor in 6 of the 7 failures. The HemCon (R) Bandage is an effective adjunct for uncontrolled external hemorrhage when traditional measures, such as pressure and gauze dressings, fail. (c) 2009 Elsevier Inc.