Fayetteville (NC) Observer
December 24, 2008 

Army Halts Use Of New First Aid Item

By Pauline Jelinek, Associated Press

WASHINGTON--Until more testing can be done, Army medics are being told to
stop using a new product just sent to the war front to help control bleeding
among wounded troops.

Officials were in the process of distributing some 17,000 packets of
WoundStat, granules that are poured into wounds when special bandages,
tourniquets or other efforts won't work. But a recent study showed that, if
used directly on injured blood vessels, the granules may lead to harmful
blood clots, officials said Tuesday.

The Army Medical Command will continue its research and work with the
manufacturer in hopes of figuring out in the next few months whether to
resume use of WoundStat, said Col. Paul Cordts, head of Army health policy
and services.

WoundStat manufacturer TraumaCure, Inc., of Bethesda, Md., had no immediate
comment.

The product had been approved by the U.S. Food and Drug Administration. It
was one of the latest in a series of Army efforts to improve survival rates
on the battlefield.

Today, 90 percent of injured troops survive their wounds, the highest rate
of any war, Cordts said in an interview. He credited better training of
combat medics, better body armor the troops wear and better tactics they use
on the battlefield, as well improved bandages, tourniquets and so on.

Defense Department figures show that as of this month, more than 4,800
troops have been killed in Iraq and the global war on terror. The latter
category counts casualties mostly from Afghanistan. Some 34,000 troops have
been wounded in the wars, where insurgents have made wide use of roadside
bombs and other explosives.

Excessive blood loss is the number one killer on the battlefield, and the
Army announced in October that it was sending two potential lifesavers - the
WoundStat packets and a bandage called Combat Gauze - to replace older other
products that had been in use at the time.

A committee of Army medics, Navy corpsmen, surgeons and others recommended
the Combat Gauze bandage - which has an agent that triggers blood clotting -
should be the first-line treatment for life-threatening hemorrhaging in
cases where a tourniquet could not be placed, such as the armpit or groin
area.

The WoundStat granules were to be used if the bandage failed to work.

Cordts said the Army put out a message on Dec. 18, directing the temporary
halt in use of WoundStat. Though it has arrived at the war zones, officials
are unclear on how widely it has been distributed so far. They're working to
identify any soldiers who got the treatment, study their cases and examine
them for any problems with blood clotting, Cordts said.

He said he didn't know whether it had been used on any soldiers and thus had
no reports back from the field - positive or negative - on how effective it
might have been.

Cordts said that after an additional few months of study, officials will
likely determine whether they should discontinue its use altogether or
perhaps redistribute it with warnings for how it is to be used.

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