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Indian Journal of Emergency Medicine

Volume  2, Issue 2, July - December 2016, Pages 93-99
 

Original Article

Assessing the Efficacy of Haemostatic Dressing Axiostat in Trauma Care at a Tertiary Care Hospital in India: A Com with Conventional Cotton Gauzeparison

Patel Ketan*, Patel Anjali**, Patel Rignesh**, Patel Bhavika**, Parmar Priyank***, Patel Dev****

*Consultant and Head, **Consultant, ***Registrar, Department of Emergency Medicine, Apollo hospitals, Bhat, GIDC Estate, Gandhinagar - 382428, Gujarat, India. ****Specialty Doctor, Dept. of Emergency Medicine at Glan Clwyd Hospital, UK.

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DOI: DOI: http://dx.doi.org/10.21088/ijem.2395.311X.2216.1

Abstract

 

 First aid is most urgent need to stabilize patient condition before any kind of intervention is sought. Scientists estimate the volume of blood in a human body to be approximately 7 percent of body weight. An observational study of 61 patients with bleeding wound chosen by random assortment was carried out. All patients were divided in two groups: Group - I, Axiostat® (Chitosan Haemostatic Dressing) and Group - II, Conventional Cotton dressing. The patients were divided in both groups by 1:1 randomization. A total of thirty patients in group – I and thirty one patients in group –II were subjected to the study. A standard pattern was followed for application of dressing to bleeding wound in both groups and different parameters were recorded. Results showed that haemostatic time in group-I (Axiostat®) was 2.125±1.35 minutes where in group-II (cotton gauze) it was 13.08±6.40 minutes. Only 61% of patients who were applied with cotton gauze showed no rebleeding after removal whereas 83% patients showed no rebleeding after removal of Axiostat® in 30 minutes. Axiostat® could be easily applied and removal was also effective by application of saline where about 63% of patients showed an excellent ease of removal when only 10% of patients applied with cotton gauze showed excellent removal. The aim of this study was to evaluate the efficacy and safety of use of external haemostat Axiostat® to control the flow of blood and attain haemostasis in comparison with conventional cotton gauze dressing.

Keywords: Axiostat®; Bleeding; Chitosan; Cotton; Dressing; Trauma.


Corresponding Author : Patel Ketan*