Supplement: Putting the Clamp on Hemorrhage - Journal of Emergency Medical Services (JEMS) @

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Putting the Clamp on Hemorrhage

How a simple, effective point-of-injury tool will transform the way bleeding is controlled in the field

Uncontrolled bleeding is one of the leading causes of death in civilian and military environment. This in-depth advertorial supplement to JEMS examines some of the tools available to EMS providers to control hemorrhage in the field. It introduces a powerful, easy-to-use adjunct to the hemorrhage control toolkit: the iTClamp50, an FDA-cleared hemorrhage-control device that causes blood to clot rapidly beneath the skin where it is applied. This new form of rapid hemorrhage control could make a big impact on trauma morbidity and mortality in your EMS operation.

ITraumaSupp_Dec2013JEMS_medres.pdf8.2 MB

Every Red Blood Cell Counts

Controlling compressible hemorrhage is the highest medical priority for improving survival in trauma cases. Now there is a new, simple and effective tool that will transform the way bleeding, particularly difficult-to-control bleeding, is managed in the field: the iTClamp50.

Dennis Filips, MD

Stop the Bleeding

Despite major advances in trauma care and medical devices, massive hemorrhage continues to have significant morbidity and mortality. Adequate hemorrhage control must take place in the prehospital environment, and EMS systems must keep pace with changing protocols.

Alison Kabaroff, CD, MD, FRCPC

Point-of-Care Hemorrhage Control

JEMS Medical Editor Ed Dickinson shares his approach to external hemorrhage control based on his many years of clinical experience in the field and in the ED, evaluation of the medical literature and use of common sense.

Edward T. Dickinson, MD, NREMT-P, FACEP

From Battlefields to City Streets

The lessons learned from dealing with horrendous combat wounds have begun to be translated to our daily care of our trauma patients in American EMS systems.

Gerald S. Doyle, MD, MPH | Peter P. Taillac, MD, FACEP

A New Tool in the Box

Tourniquets are a valuable, life-saving tool, and providers should be well-versed in their use to control bleeding and prevent hypoxia. However, they do prevent blood flow to areas distal to the tourniquet application, which can in turn induce stagnant hypoxia. Jason Clark reports on the first in-the-field use of the iTClamp, a new device designed to control bleeding but still allow blood flow to distal areas.

Jason Clark, CMTE, NRP, FP-C, CCEMT-P

How the iTClamp Works

The iTClamp is a new hemorrhage-control device that converts an open bleeding wound into a closed wound, which then allows a stable clot to form in the contained space, ultimately tamponading the bleeding vessel. Dr. Joe Holley explains how it works.

Joseph Holley, MD

Training & Speed Are Crucial

Uncontrolled hemorrhage also results in the death of a large number of civilian trauma fatalities each year. Recent military conflicts have led to many new and novel approaches, as well as clarified the appropriate application of current tools.

Joseph Holley, MD

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