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“Saving Blood” from the Brawn:
Emergency Medical Advances from Military Technology and
Practices
Every
year a huge chunk of the U.S population dies from uncontrolled bleeding ranging
from cases of classes I – IV hemorrhages with traumatic hemorrhages commonly
resulting from abrasions, lacerations, excoriations, incisions, puncture
wounds, contusions, and gunshot wounds among others, as well as
exsanguinations. Ironically, salvation from an escalating mortality rate
due to bleeding is furnished and headed by the U.S Army.
Critical
conditions within an environment in wartime have led the U.S. Army to call for
an improvement in medical emergency management. Pressed for time, scarce
of labor and resources, and the impossibility of quick blood transfusions
constantly overshadowing the military like clouds of gunfire smoke, war troops
needed immediate yet effective emergency technology especially for blood loss
scenarios.
How the military saved
blood and lives
Before
the 1990s, the U.S. militia relied on the application of dried blood in their
field medical services because it was more cost-effective and convenient to use
than donated blood even sometimes encountering problems with oxygen transport
mechanisms and hemoglobin. However, the 1990s was a breakthrough with the
introduction of oxygen therapeutics. Polyheme, a hemoglobin-based blood
substitute, by the Chicago Northfield Laboratory, was a project that the U.S.
military undertook after the Vietnam War and is currently awaiting results of
its phase 3 US trials. Other blood substitutes were also being developed
by different pharmaceutical companies throughout the U.S. such as:
perfluorocarbon-based blood substitute “Oxygent” being which is being
manufactured by the Alliance Pharmaceutical and another hemoglobin-based
product called “Hemopure” by the Biopure Corporation. The U.S. military
also grants the Dendritech Corporation with a 2-year sum of $750,000 to develop
another form of blood substitute called “Dendrimers” which are currently being
patented.
MAT, the military’s
brainchild
At
2005’s Virginia Tech shootout, Mr. Sterne was saved from a death due to an
arterial bleed-out caused by a wound on his femoral artery. Fortunately,
MAT arrived on time. MAT or Mechanical Advantage Tourniquet was applied
by paramedics in the scene, to Mr. Sterne’s wound and in seconds, necessary
compression was achieved to stop the bleeding. MAT was the progeny of the
Department of Defense specially designed to battlefield and civilian injuries due
to terrorist attacks. It was initially used in military emergency operations
and was eventually adopted by paramedics in day to day emergency scenarios
involving cases similar to the one at Virginia Tech. Since then, MAT’s
IDSA Award in 2006 for Best Medical Product Design and its finalist position
for the INDEX Award of 2007 as the best medical product in the world for the
past 2 years, has attested to its safety, convenience, necessity, and
ingenuity.
Other Military
Practices that could save lives
Emergency
situations call for promptness of response and effectiveness of
treatment. To ensure this, the military trains its reserve troops to give
medical care to victims in the battlefield through the use of M&S (Medical
Modeling and Simulation) exercises. The M&S is basically a training program
which involves simulated patients that are expected to perform and react as a
real-life victim would in different and critical given scenarios.
Article Source: EMS - EveryMinuteSucks.com
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