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2.  Bennett B, Littlejohn L, Kheirabadi B, et al. Manage-  hemostatic sponge for temporary internal use. CoTCCC pre-
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                 Care:   chitosan-based hemostatic gauze dressings—TCCC   23.  Food and Drug Administration. FDA clears military trau-
                   Guidelines-Change 13-05. J Spec Oper Med. 2014;14:40–57.  matic wound dressing for use in the civilian population. http://
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                9.  Kelly JF, Ritenhour AE, McLaughlin DF, et al. Injury severity   in combat. J Trauma Acute Care Surg. 2013;75:220–224.
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              11.  Butler FK. The US Military experience with tourniquets and
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              12.  Holcomb JB, Butler FK, Rhee P. Hemorrhage control devices:
                 tourniquets and hemostatic dressings.  Bull Am Coll Surg.   SGM Sims serves as the Medical Research Development Test
                 2015:100(September suppl):66–71.                and Evaluation SGM in the USASOC Combat Development
              13.  Butler FK, Blackbourne LH. Battlefield trauma care then and   Directorate. He has served 19 years in the US Army and has
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                 Acute Care Surg. 2012;73:S395–402.              been assigned to 3rd Special Forces Group and USASOC.
              14.  Kragh JF, Aden JK. Gauze vs XStat in wound packing for
                 hemorrhage control. Am J Emerg Med. 2015:974–976.  SGM Bowling serves as the Senior Enlisted Medical Advisor
              15.  Kragh JF, Walters TJ, Baer DG, et al. Practical use of emer-  for the US Special Operations Command. He has served for
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              16.  Kragh JF Jr, Walters TJ, Baer DG, et al. Survival with emer-
                 gency tourniquet use to stop bleeding in major limb trauma.   MSG (Ret) Montgomery is a retired Ranger Medic/Spe-
                 Ann Surg. 2009;249:1–7.                         cial Operations Combat Medic, having served as the Senior
              17.  Davis J, Satahoo S, Butler F, et al. An analysis of prehospital   Enlisted Medical Advisor at USSOCOM and the Regimental
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                 77:213–218.                                     Senior Medic of the 75th Ranger Regiment for 25 years. He
              18.  Kragh J, Walters T, Westmoreland T, et al. Tragedy into   is currently the Operational Medicine Liaison for the Joint
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              19.  Caravalho J. Dismounted complex blast injury. Report of the
                 Army Dismounted Complex Blast Injury Task Force. Fort   SFC Dituro is a Special Forces 18D medic. He is currently
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              20.  Conley S, Littlejohn L, Henao J, et al. Control of junc-
                 tional hemorrhage in a consensus swine model with hemo-  Dr Kheirabadi is a principal investigator and a research sci-
                 static gauze products following minimal training. Mil Med.   entist at the US Army Institute of Surgical Research ( USAISR).
                 2015;180:1189–1195.
              21.  Shackelford SA, Butler FK, Kragh JF, et al. Optimizing the use   He received his PhD degree in Physiology and Biophysics from
                 of limb tourniquets in Tactical Combat Casualty Care: TCCC   Georgetown University in 1981. After a 5-year postdoctoral
                 Guidelines Change 14-02. J Spec Oper Med. 2015;15:17–31.  fellowship at Georgetown Medical School and 16 years of ap-
              22.  Sims K. Management of junctional hemorrhage in Tactical   plied research on tissue and organ preservation and plasma
                 Combat Casualty Care: use of non-absorbable, expandable,   product development at the American Red Cross (Holland



              TCCC Guidelines: XStat Sponge for External Hemorrhage                                           27
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