A manikin model for study of wound-packing interventions to control out-of-hospital hemorrhage

Kragh, John F; Steinbaugh, John; Parsons, Donald L; Mabry, Robert; Kheirabadi, Bijan S.; Dubick, Michael A.

doi:10.1016/j.ajem.2014.05.020

Cited by 4 publications

(6 citation statements)

References 6 publications

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“…Einschränkend muss erwähnt werden, dass die Empfehlungen zur Durchführung einer korrekten Wundtamponade auf Herstellerangaben, Leitlinienempfehlungen und (eigenen) klinischen Erfahrungen beruhen [10]. Studien, die unterschiedliche Techniken der Wundtamponade vergleichen, sind selten [18]. Jedoch ist belegt, dass eine praktische Ausbildung an Simulatoren (z.…”

Section: Hämostyptische Druckverbändeunclassified

Blutstillungsmaßnahmen in der Notfallaufnahme – Schritt für Schritt

Hossfeld,

Leitner,

Reich

et al. 2024

Notaufnahme up2date

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Section: Hämostyptische Druckverbändeunclassified

Blutstillungsmaßnahmen in der Notfallaufnahme – Schritt für Schritt

Hossfeld,

Leitner,

Reich

et al. 2024

Notaufnahme up2date

View full text Add to dashboard Cite

“…Einschränkend muss erwähnt werden, dass die Empfehlungen zur Durchführung einer korrekten Wundtamponade auf Herstellerangaben, Leitlinienempfehlungen und (eigenen) klinischen Erfahrungen beruhen [8,18,19,20,21]. Studien, die unterschiedliche Techniken der Wundtamponade vergleichen, sind selten [22]. Jedoch ist belegt, dass eine praktische Ausbildung an Simulatoren (z.…”

Section: Anwendungunclassified

“…Jedoch ist belegt, dass eine praktische Ausbildung an Simulatoren (z. B. aus Schlachtabfällen) die Effektivität und die gefühlte Sicherheit der Anwender verbessert [22,23].…”

Section: Anwendungunclassified

Wundtamponade mit Hämostyptika – Schritt für Schritt

Lechner,

Hossfeld,

Leitner

et al. 2023

Notfallmedizin up2date

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“…While SMP foams show promise as hemostatic devices, the ideal geometry and formulation for hemorrhage control is unknown. A benefit of SMP foams is the ability to cut them to a wide variety of different geometries, which is expected to affect wound packing, wall pressure, and hemorrhage control 17,18 . To analyze the effects of SMP foam geometry, an in vitro model was built based on previous work conducted by Kragh et al 17,19 The previously described in vitro model utilized a rectangular wound to compare gauze and XStat® dressings during their application and removal.…”

Section: Introductionmentioning

confidence: 99%

“…17,18 To analyze the effects of SMP foam geometry, an in vitro model was built based on previous work conducted by Kragh et al. 17,19 The previously described in vitro model utilized a rectangular wound to compare gauze and XStat ® dressings during their application and removal. We modified the model to include a cylindrical void to better replicate a gunshot wound.…”

mentioning

confidence: 99%

Characterization of shape memory polymer foam hemostats in in vitro hemorrhagic wound models

et al. 2020

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Shape memory polymer foam hemostats are a promising option for future hemorrhage control in battlefield wounds. To enable their use as hemostatic devices, they must be optimized in terms of formulation and architecture, and their safety and efficacy must be characterized in animal models. Relevant in vitro models can be used for device optimization to help mitigate the excess use of animals and reduce costs of clinical translation. In this work, a simplified gunshot wound model and a grade V liver injury model were constructed. The models were used to characterize the effects of shape memory polymer foam hemostat geometry on wall pressures, application/removal times, hemorrhage (fluid loss), and fluid absorption in comparison with clinical controls. It was found that there is no benefit in over‐sizing the hemostatic device relative to wound volume and that geometry effects are dependent upon the wound type. These models provide a rapid means for elucidation of promising hemostat geometries and formulations for use in future in vivo testing.

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A manikin model for study of wound-packing interventions to control out-of-hospital hemorrhage

Cited by 4 publications

References 6 publications

Blutstillungsmaßnahmen in der Notfallaufnahme – Schritt für Schritt

Blutstillungsmaßnahmen in der Notfallaufnahme – Schritt für Schritt

Wundtamponade mit Hämostyptika – Schritt für Schritt

Characterization of shape memory polymer foam hemostats in in vitro hemorrhagic wound models

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