Efectividad de QuikClot v.s. tratamiento tradicional en pacientes con trauma vascular del servicio de urgencias en hospitales de segundo nivel

Abstract

Vascular trauma and hence the control of bleeding, have played an important role in the survival of humanity, and is of necessity that mankind is able to develop various methods to control bleeding, using through history from the simple logic of compression, to the great advances today allow us to vascular repair through various methods that involve increasingly greater technological advances. The management of vascular trauma has evolved with technology and, ironically, the war has allowed to acquire knowledge and experience helping to advance, through compression, application of hemostatic agents, vascular ligation, repair of injuries and the use of grafts, achieving to decrease the percentage of amputations and mortality. The increase in the use of high speed transports, most urban violence, the high degree of industrialization and new diagnostic or therapeutic methods have contributed to the increased prevalence of vascular trauma. The use of new external hemostatic agents can be used to determine the initial shape of the management and use of resources and the most appropriate way of reducing mortality in patients with massive bleeding secondary to polytrauma, as it reduces the time and amount of bleeding and thereby define a better way complications thereof. We performed a pharmacological study in controlled clinical trials in the hospitals of second level of the Secretariat of Health of the Federal District, in the emergency department, which was intended to compare The hemostatic effectiveness of a type of external application of QuikClot, applying it to other patients in comparison with traditional hemostats applied to other patients, both groups of patients with vascular trauma. It was found that the emergency services, about 70% of the visits are traumatic in nature and which 40% have vascular trauma, there salts indicated that the vascular trauma occurs most frequently inthemale75% being most affected age group between 18 and 25 years of age (35%), the anatomical region most frequently injured were the extremities in 65%, being the most common venous bleeding by 61% compared to the state of shock presented to patients is the grade ll in 43.3%. With regard to the hemostatic QuikClot was reported that contained the bleeding by an average of 3.07 minutes, resulting exothermic reaction in 60% of patients, conventional hemostatic hemostasis achieved an average of 23.6 min being the most widely used direct compression by 60%. With this data shows that QuikClo the mostaticVascular trauma and hence the control of bleeding, have played an important role in the survival of humanity, and is of necessity that mankind is able to develop various methods to control bleeding, using through history from the simple logic of compression, to the great advances today allow us to vascular repair through various methods that involve increasingly greater technological advances. The management of vascular trauma has evolved with technology and, ironically, the war has allowed to acquire knowledge and experience helping to advance, through compression, application of hemostatic agents, vascular ligation, repair of injuries and the use of grafts, achieving to decrease the percentage of amputations and mortality. The increase in the use of high speed transports, most urban violence, the high degree of industrialization and new diagnostic or therapeutic methods have contributed to the increased prevalence of vascular trauma. The use of new external hemostatic agents can be used to determine the initial shape of the management and use of resources and the most appropriate way of reducing mortality in patients with massive bleeding secondary to polytrauma, as it reduces the time and amount of bleeding and thereby define a better way complications thereof. We performed a pharmacological study in controlled clinical trials in the hospitals of second level of the Secretariat of Health of the Federal District, in the emergency department, which was intended to compare The hemostatic effectiveness of a type of external application of QuikClot, applying it to other patients in comparison with traditional hemostats applied to other patients, both groups of patients with vascular trauma. It was found that the emergency services, about 70% of the visits are traumatic in nature and which 40% have vascular trauma, there salts indicated that the vascular trauma occurs most frequently inthemale75% being most affected age group between 18 and 25 years of age (35%), the anatomical region most frequently injured were the extremities in 65%, being the most common venous bleeding by 61% compared to the state of shock presented to patients is the grade ll in 43.3%. With regard to the hemostatic QuikClot was reported that contained the bleeding by an average of 3.07 minutes, resulting exothermic reaction in 60% of patients, conventional hemostatic hemostasis achieved an average of 23.6 min being the most widely used direct compression by 60%. With this data shows that QuikClo the mostatic