I would _really_ like to know precisely what's in quikclot, and I would _really_ like to see first-hand accounts of its use... not "someone in Iraq used it and said it works great." As much as I appreciate the Dec 2003 article in SWAT Magazine, I'd like to see an interactive discussion here or on THR or somewhere with someone who has some medical knowledge and who has used quikclot in the field, ideally several times. The Dec '03 article was too close to an advertisement for my tastes. I don't care about studies or what the marines put in their medic kits. I want to know how it works, and "concentrating blood clotting factors" isn't very descriptive -- how does it do that?
Along with that, I'd like to see first-hand comments from a doctor in a hospital who has admitted and treated someone who had been treated with quikclot in the field. I'd like to know what kinds of problems it causes, presuming the blood loss and shock are treated successfully.
Based on z-medica's description, it sounds like sodium polyacrylate could be the main ingredient, but from IZ's description it sounds like something else. Sodium Polyacrylate is used in diapers; it absorbs hundreds of times its weight in water, very quickly, turning into something resembling geletin. I don't think the stuff would be healthy circulating in the bloodstream, and I would think it would cause clots in bad places, but for simply stopping massive hemorrhaging and leaving it to the doctors to deal with other clots later, it might work.
John Farnam has been rather negative on quikclot in his quips pages, but then again he's never claimed to have seen it used. I don't recall any of his former-student-doctors who have written to him about it claiming to have seen it used, either.
“The egg hatched...” “...the egg hatched... and a hundred baby spiders came out...” (blade runner)
“Who are you?” “A friend. I'm here to prevent you from making a mistake.” “You have no idea what I'm doing here, friend.” “In specific terms, no, but I swore an oath to protect the world...” (continuum)
“It's a goal you won't understand until later. Your job is to make sure he doesn't achieve the goal.” (bsg)