Accidents
on battlefields and roads often lead to hemorrhage and
uncontrolled bleeding. Hence, immediate hemorrhage control remains
of great importance to reduce mortality and socioeconomic loss. Herein,
nanobiocomposite scaffolds (film and sponge) have been fabricated
for the first time through the incorporation of a graphene-silver-polycationic
peptide (GAP) nanocomposite into chitosan (Cs). Ten different scaffolds
viz. Cs, Cs-GAP25, Cs-GAP50, Cs-GAP75, and Cs-GAP100 were prepared
in the form of films and sponges. Cs-GAP100 nanobiocomposite sponge
exhibited excellent porosity, fluid absorption, and blood clotting
capacity, whereas Cs-GAP100 nanobiocomposite film showed excellent
mechanical strength and poor degradation property. The presence of
graphene in GAP provided a unique mechanical property and prevented
the natural degradation, whereas silver nanoparticles and polycationic
peptide provided an efficient antimicrobial property to the scaffolds.
The high surface area of graphene and the hydrophilic nature of the
polycationic peptide also imparted high fluid and blood absorption
capacity to Cs-GAP nanobiocomposite scaffolds. The in vitro whole
blood clotting assay demonstrated that clotting efficacy improved
with the concentration of GAP nanocomposite and Cs-GAP100 nanobiocomposite
sponge significantly (p value <0.003) reduced
the clotting time to 60 s, as compared to the pristine chitosan dressings.
On the other side, the Cs-GAP100 nanobiocomposite film showed an excellent
wound-healing property. The Cs-GAP100 nanobiocomposite demonstrated
profound antibacterial activity against Escherichia coli and Staphylococcus aureus. The intracellular reactive
oxygen species (ROS) assay explained the interfacial interaction of
Cs-GAP100 nanobiocomposite and bacterial cells, resulting in cell
damage and finally cell death. The obtained information thus provided
a novel safe-by-design concept for fabrication of Cs-GAP100 nanobiocomposite
scaffolds and demonstrated potential development of antibacterial
hemostatic and wound dressing in traumacare management.