Have a packet in my hand and was wondering if anyone had any thoughts on it. Kindof like Quik-Clot but not caustic.... Review: TraumaDEX March 2003, MERGINET - I have been known to say, “All bleeding always stops, one way or the other.” However, better one way than the other, and the sooner the better, especially if you are the patient or the prehospital provider. Thus, in this review, we look at TraumaDEX™. TraumaDEX is an innovative wound-dressing agent developed by Medafor Inc. and distributed in the United States by Emergency Medical Products. It controls bleeding within seconds. Its hemostatic technology uses microporous polymer particles that have been naturally synthesized from a plant-based polysaccharide source—you got it: potatoes. When applied to a bleeding wound site, it initiates coagulation within seconds. The particles act as molecular sieves to absorb fluids in the blood, attracting and concentrating proteins and platelets and accelerating the natural clotting process. According to my investigation, no product currently available for emergency medical services is comparable to TraumaDEX. Materials and devices that are considered comparable to TraumaDEX technology are largely used in surgical applications, but do not have characteristics compatible with the requirements of EMS providers (e.g., low cost, good adhesion, minimal prep time). TraumaDEX has been shown to be highly effective as a topical dressing for the local management of severely bleeding wounds. This makes it appropriate for use on cuts, lacerations, abrasions, and puncture wounds. TraumaDEX researchers include no less than the Transfusion, Coagulation and Cardiopulmonary Bypass Research Group at Mayo Clinic. They studied TraumaDEX technology extensively, and their experience demonstrated that TraumaDEX hemostatic particles provide robust and highly effective control of otherwise difficult to control bleeding. A Mayo Clinic study of 30 volunteers found that the coagulant with applied pressure produced instant clotting of small forearm incisions in 77 percent of incisions, compared to a median bleeding time of approximately six minutes at identical control incisions. To manage bleeding at the control sites one inch from the treatment site, the researchers applied pressure alone. In addition to speeding up the clotting process, the topical agent offers a desirable alternative to collagen-based and other animal-derived hemostats, which can cause allergic reactions in some patients. Made of purified potato starch processed to produce porous, spherical micro-particles, the new coagulant eliminates this allergy risk. Also, the large surface area of the particles gives the hemostat its extraordinary dehydrating action. At the same time, the small size of the individual particles allows the body's own enzymes to rapidly break down the hemostat. According to laboratory findings, virtually all traces of the substance disappear within hours. The concept behind the packaging is simple, consisting of pre-packaged bellows applicators filled with the potato-based wound-dressing agent. TraumaDEX comes in two sizes: A two-gram bellows applicator provides up to four square inches of wound coverage, enough for a 16 x 1/4 inch incision A five-gram bellows applicator provides up to 10 square inches of wound coverage, enough for a 40 x 1/4 inch incision I wanted to put this product to the test for myself, but I really struggled with how I would go about it. I just could not see slashing my carotid or participating in self-mutilation. After all, I would have to conduct the test. What I needed was a “patient.” As I sat in my living room pondering the problem, I heard my wife, Debby, in the kitchen checking her blood sugar by sticking her finger. Her wound was just what I needed. I told her my idea and she agreed to be my “patient”; now, that’s dedication! She produced a wound on herself by sticking herself several times with a lancet and I then applied TraumaDEX, followed by direct pressure. I found that the wound clotted almost instantly. It was as if the beads of TraumaDEX had formed a scab over the wound. After this firsthand experience, I believe this product deserves a position in your lineup of trauma care supplies. TraumaDEX worked so well that my wife suggested it could be a product our daughter, Vanessa, may want to have on hand for our granddaughter. Abby, like most three-year-olds, gets the occasional “boo-boo.” This product would be great to use on her and other children, because it works almost instantly and is painless. While TraumaDEX is prescription use, Bleed-X ™ was developed and is marketed by Medafor Inc. for over-the-counter use. It would certainly fit the bill to have on hand in the home. I highly recommend it. TraumaDEX™ is a topical dressing for the control of severely bleeding wounds from traumatic injuries including cuts, lacerations, and puncture wounds. It is distributed in the US for prehospital customers by EMP, Inc. of Waukesha , Wisconsin at www.traumadex.com . Bleed-X™ is distributed worldwide by Medafor, Inc., 5201 East River Road, Suite 312, Minneapolis, Minnesota 55421. Phone 1-877-MEDAFOR (633-2367). Internet: firstname.lastname@example.org or www.medafor.com The 2-gram bellows applicator of TraumaDEX may be purchased from Emergency Medical Products for $10.95, (a case of 50 applicators costs $518.49). For more information on TraumaDEX and to obtain a free sample from Emergency Medical Products, go to www.traumadex.com. For more information on Bleed-X, visit www.medafor.com. Greg Schaffer, BA, EMT-P, has worked in emergency services for more than 20 years, with more than 10 years as an educator and public speaker. Greg is currently an EMS manager in metropolitan Atlanta , Georgia and travels extensively, presenting training programs on EMS and emergency communications. Greg's web site is www.gregschaffer.com.