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Setting the standard for haemostats Contents The need for - - PowerPoint PPT Presentation
Setting the standard for haemostats Contents The need for - - PowerPoint PPT Presentation
Setting the standard for haemostats Contents The need for haemostats What is Celox? Benefits How it works Performance New Celox Rapid The need for haemostats in trauma Combat lives can be saved Preventable Combat Death
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The need for haemostats in trauma
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Combat lives can be saved
60 % of preventable battlefield deaths are from extremity hemorrhage.
Preventable Combat Death
Extremity Hemorrhage Tension pneumothorax Airway obstruction
Ref WDMET study
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Civilians bleeding to death
Trauma: leading cause of death for persons under 40. Haemorrhage is the cause of death in around 40 % of civilian trauma.
Rapid action saves lives
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What is Celox?
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Celox Proven hemostasis in problem clotting.
- EFFECTIVE: Celox Gauze is consistently top performing haemostat in
evaluations.
- SAFE: Celox Gauze is a tested, safe product.
- PROVEN: published results from the field and independent studies.
- ANTI-COAGULANTS: Celox Gauze works on extreme cases including anti-
coagulated, anti-platelet and others.
- FAST: Celox speeds up treatment
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The Celox range
Granules
15g 35g
Applicator Gauze
10ft roll 5 ft Z fold
NEW Rapid Gauze
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Celox Gauze
- Gauze with Celox granules
bonded to surface.
- Preferred format of
military and most emergency services.
- Can be used in challenging
environments.
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How Celox works
Physical action no clotting cascade needed
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Using Celox gauze.
Adapted from MoD guidelines.
This is ideally a two-person technique Operator 1 Operator 2 Apply pressure into the wound through dressing. Open a fresh bandage Open Celox Gauze Now work closely together Remove dressing 1 2 3 Insert Celox Gauze, packing wound tightly Apply pressure through bandage for 3 minutes.
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Packing gauze
- Identify bleeding site.
- Pack directly onto source of
bleeding maintaining pressure
- n bleed point.
Pack as taught in controlling severe bleeding for first aid courses dont wrap.
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Safe
- Tested to highest category (Class III) European Medical Device, as
well as FDA requirements, meets ISO 10993.
- No heat produced
- Not pro-thrombotic.
- Not allergenic, no proteins.
- Same chitosan active since 2006. No adverse events.
Chitosan from Shellfish:
tested on patients with known shellfish sensitivity. No allergies.
- Chitosan metabolised by lysosyme
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Performance
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US Department of Defense 2012 study
Survival.
Celox 90 %,
Blood loss
n=10 each group Combat Gauze is called Quikclot in Europe, where it is only licensed for moderate bleeding, not severe or life-threatening bleeding.
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Evidence of Celox Gauze performance
Three published, independent studies compare Celox Gauze with Combat Gauze and/or Chitogauze.
- ONR study using DoD consensus model 20121.
- OHSU article using care under fire model 20112.
- Tactical evacuation scenario 20103.
Two clinical papers on Military4,5 and Civilian5 EMS use.
- Afghanistan use and air ambulance.
1. Rall JM et al. Report #TR-2012-22. NMRU, San Antonio. 2. Watters JM, et al. J Trauma. 2011 Jun;70(6):1413-9. 3. D Morehouse. Defence Global Nov. 2010, 15-19. 4. Pozza M, Millner R. Europ J Emerg Med 18(1):31-33 Feb 2011. 5. Tan ECTH, Bleeker CP. MCI Forum 3(4): 11-15, 2011.
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All studies collated: Celox Gauze #1.
0% 20% 40% 60% 80% 100% ONR 2012 Hemostasis Morehouse Evacuation intact Watters Hemostasis
Celox Gauze Chitogauze Combat Gauze
DoD model
Hemostasis ONR 2012
Tactical evac. Model
Evacuation intact
Care under fire model
- Hemostasis. Watters 2011
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The next generation
The fastest battlefield haemostat
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The Rapid Treatment
The fastest haemostatic agent. Works with just 60 second compression. Controls the most severe bleeding. Saves blood saves lives.
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The latest generation
Cuts treatment time in half
1 2 3 4 3 minute gauze Celox Rapid
Minutes
packing compression
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Summary
- EFFECTIVE: Celox Gauze is consistently top performing haemostat in
evaluations.
- SAFE: Celox Gauze is a tested, safe product.
- PROVEN: published results from the field and independent studies.
- ANTI-COAGULANTS: Celox Gauze works on extreme cases including anti-
coagulated, anti-platelet and others.
- FAST: Celox speeds up treatment
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