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Aunque pueda contener afirmaciones, datos o apuntes procedentes de instituciones o profesionales sanitarios, la información contenida en el blog EMS Solutions International está editada y elaborada por profesionales de la salud. Recomendamos al lector que cualquier duda relacionada con la salud sea consultada con un profesional del ámbito sanitario. by Dr. Ramon REYES, MD

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.

Niveles de Alerta Antiterrorista en España. Nivel Actual 4 de 5.
Fuente Ministerio de Interior de España

sábado, 20 de enero de 2024

Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS". Cleared to Stop Gun and Knife Wounds in Arms and Legs

Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"

XSTAT detiene el sangrado potencialmente mortal de heridas no comprimibles en las uniones y las extremidades. Funciona inyectando esponjas pequeñas que se expanden rápidamente en la cavidad de una herida con un aplicador similar a una jeringa. Una vez dentro de la cavidad, las mini esponjas absorben sangre, se expanden hasta 10 veces su tamaño, tapan la herida y aplican presión hemostática.
Video

Así funciona XSTAT en Hemorragias de unión y extremidades y actúa en solo 15 segundos

XSTAT stops life-threatening bleeding from non-compressible junctional and extremity wounds. It works by injecting small, rapidly-expanding sponges into a wound cavity using a syringe-like applicator. Once inside the cavity, the mini sponges absorb blood, expand to 10x their size, pack the wound and apply hemostatic pressure.

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Dr. Ramon Reyes, MD


Les Esperamos en nuestro Grupo en TELEGRAM Soc. IberoAmericana de Emergencias


RevMedX just announced that the FDA has cleared its XSTAT 12 and XSTAT 30 devices for stopping severe bleeding from knife and gun-shot wounds in the arms or legs. The XSTAT devices are essentially large syringes that can be used to quickly push dozens of tablet-sized highly absorbent pieces of foam into a wound. Once the foam tablets are inside the wound, they quickly expand, blocking the blood from escaping and delivering pressure onto the wound from within. Each tablet contains a radiopaque marker so it can be easily found using X-ray fluoroscopy during surgery.
Previously, the XSTAT devices have been FDA approved for use in civilian and battlefield situations, but only to treat junctional wounds around the groin and shoulders. The new indication will help more wounds to be quickly treated, hopefully helping to prevent arm and leg loss and even death.
Here’s a quick demo of the XSTAT being used on a leg:

XSTAT detiene el sangrado potencialmente mortal de heridas no comprimibles en las uniones y las extremidades. Funciona inyectando esponjas pequeñas que se expanden rápidamente en la cavidad de una herida con un aplicador similar a una jeringa. Una vez dentro de la cavidad, las mini esponjas absorben sangre y se expanden hasta 10 veces su tamaño, taponando la herida y aplicando presión hemostática sin necesidad de aplicar presión manual externa. Este video demuestra el uso de XSTAT12 y XSTAT 30.

XSTAT para detener el sangrado severo en la pierna/ XSTAT for Stopping Severe Bleeding in the Leg 


XSTAT stops life-threatening bleeding from non-compressible junctional and extremity wounds. It works by injecting small, rapidly-expanding sponges into a wound cavity using a syringe-like applicator. Once inside the cavity, the mini sponges absorb blood and expand up to 10 times their size, packing the wound and applying hemostatic pressure without the need to apply external manual pressure. This video demonstrates the use of XSTAT12 and XSTAT 30.

WILSONVILLE, Ore., May 20, 2016 /Ireach PR Newswire/
For Immediate Release

RevMedx™ Announces First Field Use of  XSTAT®


XSTAT® is a first-in-kind hemostatic device for the treatment of gunshot and shrapnel wounds. XSTAT works by injecting a group of small, rapidly-expanding sponges into a wound cavity using a syringe-like applicator. Each sponge contains an x-ray detectable marker. In the wound, the XSTAT sponges expand and swell to fill the wound cavity within 20 seconds of contact with blood. This creates a temporary barrier to blood flow and provides hemostatic pressure. 

“When a product is developed for use in the battlefield, it is generally intended to work in a worst­ case scenario where advanced care might not be immediately available,” said William Maisel, M.D., M.P.H., acting Director of the Office of Device Evaluation in the FDA’s Center for Devices and Radiological Health. “It is exciting to see this technology transition to help civilian first responders control some severe, life-­threatening bleeding while on the trauma scene.” 

Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"



Indications for Use:

XSTAT 30 is a hemostatic device for the control of severe, life-threatening bleeding from junctional wounds in the groin or axilla not amenable to tourniquet application in adults and adolescents.

XSTAT 30 is a temporary device for use up to four (4) hours until surgical care is acquired. It should only be used for patients at high risk for immediate life-threatening bleeding from, hemodynamically significant (Advanced Trauma Life Support class 3 or 4 hemorrhagic shock), non- compressible junctional wounds, and when definitive care at an emergency care facility cannot be achieved within minutes

XSTAT 30 is NOT indicated for use in: the thorax; the pleural cavity; the mediastinum; the abdomen; the retroperitoneal space; the sacral space above the inguinal ligament; or tissues above the clavicle.


RevMedx, Inc. today announced that the XSTAT hemostatic device has been successfully deployed on a patient in a field setting.  The use of XSTAT on a soldier was the first documented clinical use of the product since its release. After failing to staunch severe bleeding in the patient using standard hemostatic technologies, a United States forward surgical team (FST) used XSTAT to achieve almost immediate hemostasis. 
Based on information released from the US Military, a coalition forces soldier was wounded in action with a gunshot wound to the left thigh.  The femoral artery and vein were transected and damage to the femur and soft tissue left a sizable cavity in the leg.  After a self-applied tourniquet stopped the bleeding, the patient was transferred to an FST for evaluation and treatment.  After proximal and distal control of the vessel was achieved, several hours were spent by the team trying to control residual bleeding from the bone and accessory vessels.  Throughout the course of the roughly 7-hour surgery, multiple attempts at using bone wax and cautery on the bleeding sites were unsuccessful and the patient received multiple units of blood and plasma.  Eventually, the FST team opted to use XSTAT and applied a single XSTAT device to the femoral cavity— resulting in nearly immediate hemostasis. The patient was stabilized and eventually transported to a definitive care facility. 
XSTAT is a first-in-kind hemostatic device for the treatment of severe bleeding in the axilla or groin area (known as junctional wounds). XSTAT works by injecting a group of small, rapidly-expanding sponges into a wound cavity using a syringe-like applicator.  In a wound, the sponges rapidly expand and exert hemostatic pressure.  Each sponge contains an x-ray detectable marker to confirm complete surgical removal when definitive surgery is performed. 

"The first-in-human experience with XSTAT is the culmination of tremendous effort on the part of both RevMedx and our military collaborators,” said Andrew Barofsky, president and CEO of RevMedx.  "We are pleased to see XSTAT play a critical role in saving a patient’s life and hope to see significant advancement toward further adoption of XSTAT as a standard of care for severe hemorrhage in pre-hospital settings” said Barofsky.

About RevMedx
Based in Wilsonville, Oregon, RevMedx is a privately held medical device company whose goal is to design, develop, and manufacture innovative medical products that save lives. Our product line includes XSTAT, XGAUZE, AIRWRAP, PARABELT, and TX Series Ratcheting Tourniquets.  Additional information about RevMedx and our products can be found at www.revmedx.com.

Media Contact:
Will Fox
VP Sales & Marketing
Phone: (503) 218-2172

LIFE-SAVING SYRINGE RECEIVES FDA APPROVAL



Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"
Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"


Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"



XSTAT gets the go-ahead for new battlefield tool

XStat, developed by RevMedx, has recently gained FDA approval. The new device functions as a temporary dressing for gunshot and shrapnel wounds, where a tourniquet cannot be used, such as injuries to the groin or armpit.

It has been designed for emergency battlefield situations, where  patients may be some way away from dedicated trauma theatres.  In many cases this is a life and death issue. In a study of soldiers who died between 2001 and 2009 of wounds that weren’t immediately fatal, exsanguinating hemorrhage or bleeding out, was the cause of death in an estimated 80 percent of cases.
The XStat device consists of a syringe-like applicator that contains 92 compressed, cellulose sponges which are coated with an absorbent material. Each tablet-sized sponge measures only 9.8mm in diameter and 4 to 5mm in height. The ultra-absorbent sponges areinjected directly into the wound and rapidly swell to fill the wound cavity, thus stemming blood loss. Designed to remain in place for up to four hours, each XSTAT sponge contains an x-ray detectable marker for speedy removal on hospitalization.
Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"


Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"


Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"


Xstat Instructional "SEALS A GUNSHOT WOUND IN 15 SECONDS"


Habilidades a aplicar segun nivel de competencias profesionales en el TECC by CTECC



Tactical Emergency Casualty Care (TECC) Guidelines for First Responders with a Duty to Act
Guías para Primeros Respondedores con Deber de Actuar “En Acto de Servicio”

(Fuerzas de Seguridad, Bomberos no SEM)

Enlace para descargar PDF Gratis http://emssolutionsint.blogspot.com/2017/09/curso-tecc-espana-28-septiembre-2017.html

FDA APPROVES SYRINGE-LIKE DEVICE FOR PLUGGING GUNSHOT WOUNDS


ORIGINALLY DESIGNED FOR THE MILITARY, THIS INJECTABLE SPONGE PACK COULD CHANGE THE WAY EMTS TREAT GUNSHOT VICTIMS.

The Food and Drug Administration has approved for civilian use a revolutionary device that can stop bleeding from a gunshot wound in less than a minute. On December 7, the agency gave the green light to deploy the XStat 30 to hospitals.
The simple invention is a syringe-like tool that injects tiny sponges into a wound to treat hemorrhaging. Originally developed with troops in Iraq and Afghanistan in mind, the XStat 30 could change the way gunshot victims are treated in the U.S.
The device is designed to plug bleeding from bullet and shrapnel injuries to the groin, armpits, and other areas where applying traditional tourniquets could be difficult.
"When a product is developed for use in the battlefield, it is generally intended to work in a worst-case scenario where advanced care might not be immediately available," said William Maisel of the FDA’s Center for Devices and Radiological Health. "It is exciting to see this technology transition to help civilian first responders control some severe, life-threatening bleeding while on the trauma scene."
The device is the brainchild of a small startup in suburban Portland, Oregon, called RevMedx, which primarily designs products for military personnel and emergency first responders. This past April, RevMedx shipped XStat devices to the military for the first time.
Over the long term, these devices and similar ones could reduce gun deaths in the United States. Data from the United States Army Institute of Surgical Research suggests 30% to 40% of civilian traumatic injury deaths are due to blood loss.
[Photo: XSTAT via RevMedx]

Information related: 




The Hartford Consensus III Compendium, September 2015. PHTLS B-Con Bleeding Control for the Injured




TACTICAL MEDICINE TACMED “Medicina Bona Locis Malis” tm. Good Medicine In Bad Places España by EMS Solutions International  http://emssolutionsint.blogspot.com.es/2017/09/tactical-medicine-tacmed-espana-by-ems.html 



Dr Ramon REYES, MD,
Por favor compartir nuestras REDES SOCIALES @DrRamonReyesMD, así podremos llegar a mas personas y estos se beneficiarán de la disponibilidad de estos documentos, pdf, e-book, gratuitos y legales..

PROTOCOLO PARA INTERVENCIONES DE SOPORTE VITAL EN INCIDENTES DE MÚLTIPLES VÍCTIMAS POR ATENTADOS TERRORISTAS ABRIL 2016 (Actualizado Marzo 2018) by Juan Jose Pajuelo

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TCC-LEFR

TECC

TCCC Tactical Combat Casualty Care Handbook

TACMED España

BCon  Saber un poco mas sobre control de sangrados 


Hartford

Tactical Medics vs Rescue Task Force

GUIA DE SOPORTE VITAL PARA SEGURIDAD PRIVADA COMO PRIMER INTERVINIENTE EN INCIDENTES ARMADOS. by Juan Jose Pajuelo Castro y David Grevillen Carretero. SEMES 2018 

http://emssolutionsint.blogspot.com.es/2018/02/guia-de-soporte-vital-para-seguridad.html


PROTOCOLO PARA INTERVENCIONES DE SOPORTE VITAL EN INCIDENTES DE MÚLTIPLES VÍCTIMAS POR ATENTADOS TERRORISTAS ABRIL 2016 (Actualizado Marzo 2018) by Juan Jose Pajuelo

http://emssolutionsint.blogspot.com.es/2018/03/protocolo-para-intervenciones-de.html

8 trampas a evitar en el controlhemorragias 

Guia de Soporte en Incidentes con Amenaza para Primer Interviniente Policial by Juan Jose Pajuelo Castro  emssolutionsint.blogspot.com/2018/07/guia-de-soporte-en-incidentes-con.html

TACTICAL COMBAT CASUALTY CARE Handbook version 5 May 2017 emssolutionsint.blogspot.com/2017/07/tactical-combat-casualty-care-handbook.html

Updated TCCC Guidelines (31 JAN 2017) "Actualizacion 2017 de las Guias" Tactical Combat Casualty Care emssolutionsint.blogspot.com/2012/07/presentacion-del-programa-phtls-tccc.html

TCCC TACTICAL COMBAT CASUALTY CARE Quick Reference Guide First Edition 2017 FREE PDF  emssolutionsint.blogspot.com/2018/07/tccc-tactical-combat-casualty-care.html

Updated TCCC Guidelines (31 JAN 2017) "Actualizacion 2017 de las Guias" Tactical Combat Casualty Care emssolutionsint.blogspot.com.es/2012/07/presentacion-del-programa-phtls-tccc.html

MANUAL DE SOPORTE VITAL AVANZADO EN COMBATE Ministerio de Defensa España 2014   http://emssolutionsint.blogspot.com.es/2016/02/manual-de-soporte-vital-avanzado-en.html


COMTOMS TACTICAL MEDIC HANDBOOK 2013 Edition

Guías para el Manejo de Heridos en Incidentes Intencionados con Múltiples Víctimas y Tiradores Activo "MACTAC" emssolutionsint.blogspot.com/2016/12/guias-para-el-manejo-de-heridos-en.html


Manejo de Heridos en Incidentes Intencionados Múltiples Víctimas y Tiradores Activos 09/07/2017 emssolutionsint.blogspot.com/2018/07/manejo-de-heridos-en-incidentes.html 

TERRORISMO Y SALUD PÚBLICA - "GESTIÓN SANITARIA DE ATENTADOS TERRORISTAS POR BOMBA"  emssolutionsint.blogspot.com/2013/08/terrorismo-y-salud-publica-gestion.html


TRAUMA DE TORAX: DOCENA DE LA MUERTE en trauma toracico

https://emssolutionsint.blogspot.com.es/2013/01/penetrating-chest-trauma-photo-trauma.html

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SPECIAL OPERATIONS FORCES Medical Handbook Free PDF  emssolutionsint.blogspot.com/2018/02/special-operations-forces-medical.html

Balística de las heridas: introducción para los profesionales de la salud, del derecho, de las ciencias forenses, de las fuerzas armadas y de las fuerzas encargadas de hacer cumplir la ley http://emssolutionsint.blogspot.com/2017/04/balistica-de-las-heridas-introduccion.html

Guía para el manejo médico-quirúrgico de heridos en situación de conflicto armado by CICR http://emssolutionsint.blogspot.com/2017/09/guia-para-el-manejo-medico-quirurgico.html

CIRUGÍA DE GUERRA TRABAJAR CON RECURSOS LIMITADOS EN CONFLICTOS ARMADOS Y OTRAS SITUACIONES DE VIOLENCIA VOLUMEN 1 C. Giannou M. Baldan CICR http://emssolutionsint.blogspot.com.es/2013/01/cirugia-de-guerra-trabajar-con-recursos.html

Manual Suturas, Ligaduras, Nudos y Drenajes. Hospital Donostia, Pais Vasco. España http://emssolutionsint.blogspot.com/2017/09/manual-suturas-ligaduras-nudos-y.html

Técnicas de Suturas para Enfermería ASEPEYO y 7 tipos de suturas que tienen que conocer estudiantes de medicina http://emssolutionsint.blogspot.com/2015/01/tecnicas-de-suturas-para-enfermeria.html

Manual Práctico de Cirugía Menor. Grupo de Cirugia Menor y Dermatologia. Societat Valenciana de Medicina Familiar i Comunitaria http://emssolutionsint.blogspot.com/2013/09/manual-practico-de-cirugia-menor.html



Protocolo de Atencion para Cirugia. Ministerio de Salud Publica Rep. Dominicana. Marzo 2016 http://emssolutionsint.blogspot.com/2016/09/protocolo-de-atencion-para-cirugia.html

Manual de esterilización para centros de salud. Organización Panamericana de la Salud http://emssolutionsint.blogspot.com/2016/07/manual-de-esterilizacion-para-centros.html

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SERVICIOS PREHOSPITALARIOS Y DE AMBULANCIAS EN SITUACIONES DE RIESGO. PDF GRATIS http://emssolutionsint.blogspot.com/2018/06/servicios-prehospitalarios-y-de.html


PDF Update on Prehospital Trauma Courses, NAEMT, Alex Eastman, Lieutenant and Deputy Medical Director, City of Dallas http://emssolutionsint.blogspot.com.es/2016/12/phtls-prehospital-trauma-life-support.html



Tactical Emergency Casualty Care (TECC) Guidelines for First Responders with a Duty to Act Guías para Primeros Respondedores con Deber de Actuar “En Acto de Servicio” (Fuerzas de Seguridad, Bomberos no SEM)    emssolutionsint.blogspot.com/2018/07/tactical-emergency-casualty-care-tecc.html


PAGINA FCEBOOK 

TACMED Spain Medicina Tactica España  GRUPO  https://www.facebook.com/groups/311284402300505/


Gratis 
Este es el enlace correcto para el protocolo corregido:


Al igual que en la web:


14 paginas 
959 KB



TACTICAL MEDICINE TACMED “Medicina Bona Locis Malis” tm. Good Medicine In Bad Places España by EMS Solutions International 
http://emssolutionsint.blogspot.com.es/2017/09/tactical-medicine-tacmed-espana-by-ems.html





AED Automatic External Defibrillator . UN compacto, economico y seguro https://emssolutionsint.blogspot.com/2019/08/aed-automatic-external-defibrillator-un.html

Dr Ramon REYES, MD,
Por favor compartir nuestras REDES SOCIALES @DrRamonReyesMD, así podremos llegar a mas personas y estos se beneficiarán de la disponibilidad de estos documentos, pdf, e-book, gratuitos y legales..