Page 148 - Journal of Special Operations Medicine - Spring 2016

Dr Frank Butler

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novel hemostatic product called XStat has by the US Army Institute of Surgical Research and ap-
recently been developed by RevMedx in Wilson- pears in this issue. Be sure to read “Management of Ex-
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A ville, Oregon. The XStat system consists of ap- ternal Hemorrhage in Tactical Combat Casualty Care:
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proximately 92 flat, circular, compressed minisponges The Adjunctive Use of XStat Compressed Hemostatic
that are coated with the hemostatic substance chitosan Sponges: TCCC Guidelines: Change 15-03” on page 19.
and packaged in a 60mL syringe applicator. The unex-
panded minisponges are 9mm in diameter and 4.5mm in The training slides to support this change to the TCCC
height. When injected into a wound cavity, the sponges Guidelines were developed by Dr Stephen Giebner, the
expand when they come into contact with blood, filling CoTCCC Developmental Editor and are attached. These
the wound cavity and exerting pressure on bleeding ves- XStat slides will be incorporated into the 2016 version
sels from within the wound cavity. of the TCCC for Medical Personnel curriculum, which
will come out this summer. If there are any proposed
A proposed change to the TCCC Guidelines to add changes to TCCC curriculum materials, please forward
XStat as a hemostatic adjunct was recently reviewed these to Dr Giebner (sdgiebner@msn.com) as soon as
by the TCCC Working Group and approved by the re- possible.
quired two-thirds or more of the voting members of the
CoTCCC. XStat may be particularly useful in junctional THANKS to SGM Kyle Sims, SGM F Bowling, MSG
wounds in the groin or axilla in which the bleeding (Ret) “Monty” Montgomery, SFC Paul Dituro, and Dr
comes from a wound with a deep, narrow wound track. Bijan Kheirabadi for their outstanding work in develop-
ing this update to the TCCC Guidelines.
The position paper for this change to the TCCC Guide-
lines has been finalized and approved for publication

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