posted on Nov, 4 2009 @ 02:22 AM
The QuickClot is probably the best for a deep penetration wound in an emergency. It is simpler and faster in an emergency than deep suturing if you
do not have experience. As an example, on an abdominal wound, if your suture accidentally catches and injures bowel, you can die days later of
septicemia from bowel leakage.
From their website…
“QuikClot® brand hemostatic agent saves lives by rapidly stopping severe bleeding. It is composed of an inert mineral substance that meets a
variety of medical needs and applications, and changing the way we look at traumatic bleeding, by giving first responders and others an additional
tool that can save a life.
For the first time in history, we've put the ability to quickly stop severe, life threatening bleeding into the hands of anyone who can tear open a
package and follow a few simple directions. And, in addition to products for emergency response, we continue to innovate and deliver life saving
products - for the soldier, fireman, first responder and surgeon. When blood loss is the danger, QuikClot® is the answer. Awards Received
2008, June – JEMS (Journal of Emergency Medicine) "2008 Hot Products", QuikClot® Sport™ brand hemostatic agent and QuikClot® Sport™ Silver
brand hemostatic agent ANTI-BACTERIAL.
2008, Jan – EMS Product News (Cygnus Publications) "The Top 100 Reader's “Choice Products of 2007", QuikClot® 1st Response™ brand hemostatic
That being said, some vicryl suture for skin and more superficial wounds is not unreasonable. I would get a tapered needle, not a cutting needle, as
the taper is safer and will not cut surrounding tissues, although most experienced surgeons use a cutting needle, as it goes through skin easier. The
size of the needle is in general proportional to the size of the suture. For skin, I would have several packages of 4-0 vicryl, taper or cutting
needle (Small size is “SH”) The larger needles are CT sized, and a couple of packages of 2-0 and 0 vicryl on taper CT needles should do nicely for
most common lacerations. Vicryl is easy to tie, almost like sewing thread. Cut the suture a few mm away from the knot, as it will swell slightly,
and if you cut on the knot it may be easier to unravel if your knots are not good. Skin sutures can usually be removed in 4-6 days buy clipping the
knot and gently pulling the suture out. If left alone, they will dissolve in 6 weeks, but may itch a bit. Deeper sutures should be left to dissolve
on their own.
The packages are sterile and packaged with a heavy foil, and although they do have an expiration date, should remain sterile unless opened. The
slightly expired ones are much cheaper on ebay (search vicryl suture). I buy these for home use but you could not legally use them in an OR. Its
like medications, which must have a mandated expiration date, but if stored well, are often ok even if beyond the expiration dates. Of course a few
products will degrade and loose potency, in general the sutures are even more stable. I would not use any product in which the foil has been
Once again, this is not medical advice, one should always seek care with a qualified health care provider whenever possible.