Mountain Lakes Regional EMS Council

2008  Hemostatic Bandage Usage Study - EMS Section

Please fill in all information as it is written on the PreHospital Care Report (PCR) for those patients that have a primary or secondary complaint of bleeding. Hemostatic Bandage use done while enroute to the hospital.

Background: The New York State SEMAC approved hemostatic bandages in 2007 at the BLS level.  Previous designs of these bandages led to some tissue destruction due to an exothermic reaction.  Newer designs have reduced this tissue destruction but the exothermic reaction is still a part of the chemical reaction.  Additionally the cost of these bandages is significantly greater than that of standard bandages so the use of them should be limited to hemorrhage not able to be controlled via standard pressure dressings.

Methods:  Each PCR will be reviewed that has a primary or secondary complaint of bleeding.  Cases of epistaxis or internal bleeding will be excluded.  For those remaining the abstractor will answer the following questions:

Patient's Name/Date of Birth:                                          

   

Enter your 4 Digit State Agency Code:                                 Date of Call:

                                                           

Agency Name: 

 

Enter the PCR Number (DO NOT include dash [-]):

 

Enter the Chief Complaint in the space provided below.

 

Choose one of the following Presenting Problems:

 

Enter Explanation (Only if you picked Pain or Other in Question 5):

How did bleeding start?

What were the first two measured BP’s?  Example: 120/80

            

What were the first two pulses?  Example: 120

            

Was direct pressure used?

 

Was elevation used?

 

Were pressure points used?

 

Were non-hemostatic bandages used?

          

Were hemostatic bandages used?

          

Was a tourniquet used?

          

Last BP?

         

Last pulse?

       

Disposition Code:

 

TEK Number (If applicable):

 

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Revised: 10/25/08