celox gauze vs quikclot gauze

Advanced Search Cancel Login / Join. The Celox is available in Z-folded version, it comes in 2 sizes(5ft and 10ft)and considered as the best gauze in the world together with the Quikclot combat gauze and you can buy it here from Amazon. CEL = Celox Gauze (chitosan acid salt particulate in Gauze). 2014 Fall; 9(4):309-315. Combat Gauze, with each demonstrating plusses and minuses, but not mentioning the questions in my OP. Comparison of novel hemostatic dressing with QuikClot Combat gauze in a standardized swine model of uncontrolled hemorarhage. celox bandages. 2,3,4,5 This bleeding control solution creates a robust clot 6,7 to control bleeding fast 9 until medical support arrives. The animals were then randomized to five treatment groups (16 animals each). XGauze expands on contact with blood putting internal pressure on wound; blood clots faster due to increased surface area. I was snoozing in the class and all I remember was that. Also works in COLD, without the 'heat' associated with older QC. Jump to Latest Follow Godinez FS, Johnson AS. Objective: Compare QuikClot Combat Gauze (QCG) and Celox Rapid (CR) for initial hemostasis and over a 1-hour period. QuikClot Combat Gauze Video. I use the Celox rapid for very size constrained kits and Quikclot for normal kits. Yeah, read that same study, as well as one that compared Chito vs. CELOX vs. Celox Cost: -15g granules packet for $17,99 -Granule Applicator and Plunger Set for $39,99 -Gauze for around $20 -4 yard roll for $23 -25g sponge for $13. Each agent was applied with 5 minutes . QuikClot combat gauze and Celox Gauze are most effective when applied with a tourniquet and Israeli compression bandage. QuikClot Combat Gauze LE is a soft, white, sterile, nonwoven 3" by 4 yds z-folded gauze impregnated with kaolin, an inert mineral that does not contain animal or human proteins or botanicals. Celox, on the other hand, only comes in granular form, but also comes in an alternate "Celox-A" applicator that allows for use in deep penetrating wounds (knife stabs, GSW, you name it). Non toxic. Because of its effectiveness, hospitals, emergency responders, and all five branches of the military trust and rely on QuikClot to help control . Celox Rapid Z-Fold Gauze Stops Bleeding Fast IFAK EMT Bandage Exp. The old formulas were very exothermic, so there was an issue of being burned . The extra surface area enables it to clot quicker than normal gauze. There seems to be some mystery about how hemostatics work and if they're safe. Personally prefer Quickclot Combat Gauze because it is easy to use and had a ribbon that shows up on X-rays so that definitive care is able to remove all of it, and the impregnated kaolin is far superior when promoting clotting compared to the compounds used in alternative brands. SKU: FG08839011 Category: Medical Supplies Brand: Celox Medical. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10 . Gauze is good, stuff it in gushing holes. x 4 yds. celox celox vs quikclot d-stat dry first aid first aid kits first aid supplies quikclot. Shop by category. Some of these items ship sooner than the others. The use of QuikClot combat gauze in cervical and vaginal hemorrhage. Quikclot, Celox work by similar mechanisms, using natural clotting agents that speed up blood clot formation. BUY TODAY AT http://www.liveactionsafety.com/celox-z-fold-hemostatic-gauze-5-foot/Celox Gauze is the treatment for life-threatening bleeding. Vacuum packed, sterile and Z-folded, X-Ray detectable. QuikClot accelerates the body's natural clotting process and ultimately helps stop bleeding 5X faster than ordinary first aid gauze bandages.1. In the ChitoGauze group, seven (87.5%) animals achieved hemostasis and survived with minimal blood loss or oozing. Z-folded, nonwoven gauze with X-ray indicator, and is impregnated with kaolin, an inorganic mineral that activates Factor XII, 1 which in turn accelerates the body's natural clotting ability. Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. Customers Also Viewed Quick view Add to Cart. However, IMHO, either is better than nothing and both are just a temporary solution to stop serious bleeding . Free bleeding was allowed to proceed for 45 seconds before packing of QCG, QuikClot Combat Gauze XL (QCX), Celox Trauma Gauze (CTG), Celox Gauze (CEL), or HemCon ChitoGauze (HCG), into the wound. From my non-expert opinion CELOX trauma gauze and QuikClot are very similar products. Safetry evaluation of new hemostatic agents, smectite granules, and kaolin covered gauze in vascular injury wound model in swine. Am J Disaster Med. Subjects: Twenty-one Yorkshire swine. Group 1 was Celox-A (CA), group 2 was combat gauze (CG), group 3 was Chitoflex (CF), group 4 was WoundStat (WS), and group 5 was standard gauze (SG) dressing. The ChitoFlex bandage, HemCon bandage, QuikClot, and CELOX free granule formulation all have been used successfully to achieve hemostasis on the battlefield. Gynecol Oncol Rep. 2017; 21: 114-116. The big advancement in wound packing and hemostatic agents (at least in the emergency/tactical context) came in 2008, when Z-Medica, the maker of QuikClot, integrated a hemostatic agent into gauze. $ 39.00. Independent testing9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. Get rid of it. Acad Emerg Med. Summarily, Celox and Quikclot make use of extra ingredients to speed up the clotting of blood. $49.99. QuikClot Bleeding Control Dressing (3-inch x 4-yard z-folded) QuikClot Advanced Clotting Sponge . As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re . Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. Roberts JS, Niu J, Pastor-Cervantes JA: Comparison of hemostasis times with a kaolin-based hemostatic pad (QuikClot Radial) vs mechanical compression (TR Band) following transradial access: A pilot prospective study. Celox Rapid Gauze. I keep Celox rapid in my IFAKs. Celox is good stuff Comes in granules, gauze, gauze rolls. The Celox Granules mold to the shape of the wound to get firm pressure on to the source of the bleeding even in complex shaped injuries. An arteriotomy was made in the . . #14. Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. XGauze does the same, but it takes a different method to do so. $2895. I would try to avoid quikclot combat gauze because the hemostatic used in it is rendered ineffective when they patient is on blood thinners whereas other . Get immediate pressure on the bleeder, then get a wad of gauze on the bleed site and continue pressure for at . Z-MEDICA, LLC. The effects of QuikClot Combat Gauze and Celox Rapid on -Small fine powder and gauze -Replaces chemical that helps blood clotting The Functions of Blood Are they even worth it?! Yes there is a difference. 3 Responses to QuikClot vs. Celox? As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re . The US military has favoured QuikClot Combat Gauze since 2008,39 and the Israel Defence Forces have nominated it as their agent of choice.34 In the UK military, Celox-coated gauze has been favoured since the update to the Clinical Guidelines for Operations in 2013.40 The US military added Celox gauze and ChitoGauze to their recommended agents . Is slightly different from other haemostatic agents, it contains no ingredients that are derived from animal proteins, human proteins, shellfish or botanicals. Related products. Hemostatic dressing for control of traumatic bleeding. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10 . Celox comes in syringes for puncture wounds and gauze pads too. 3 top picks are Quikclot, Celox, and XGauze. North American Rescue Hyfin Vent Chest Seal, Original Version 2 Count (Pack of 1) $2450 ($12.25/Count) QuikClot Gauze 3" x 2'. CELOX RAPID Gauze is a hemostatic agent - it is designed to stop external bleeding from gunshot injuries, stab, blast . Kheirabadi BS, Mace JE, Terrazas IB, et al. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10. However, the ideal agent has yet to emerge. Summary of Rall et al. Combat Gauze may be purchased for $30 . Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. The effects of QuikClot Combat Gauze on hemorrhage control when used in a porcine model of lethal femoral injury. Celox is preferred but either is better than nothing. Trauma Pak with . Z-folded, nonwoven gauze with X-ray indicator, and is impregnated with kaolin, an inorganic mineral that activates Factor XII, 1 which in turn accelerates the body's natural clotting ability. For Combat Ga. Additional Information NSN #: 6510-01-562-3325. An alternative hemostatic dressing: comparison of CELOX, HemCon, and QuikClot. QuikClot Combat Gauze is a sterile, 3 in. XGauze works best in the lab, but Quikclot & Celox are proven . In an independent trial, when compared to Quikclot* and gauze, Celox was the only product to give 100% survival and was also the only product to give robust clotting with no rebleeding 7. Celox Rapid Hemostatic Gauze - Red Packaging $42.95. 704-997-6530} Mon-Tues: 10am - 6pm | Wed-Thurs: 9am - 5pm | Fri-Sat: 10am - 3pm best collagen for tendon repair; nigeria recession 2020 Total price: $69.44. Full-strength CELOX granules are bonded to the surface of CELOX gauze, which has a more stable, denser consistency than traditional thready gauze and does not compact under pressure. Rall JM et al. It uses the pro. 5; . The QuickClot ACS, Sport, First Response (the "sponge") is worthless for the most part. The Quikclot has a lot more gauze for the same money. . 2023 QuikClot. Celox. Related Products. Easy to use. 2008; 15 (1):74-81. doi: 10.1111/j.1553-2712.2007.00009.x . All the current well-regarded products on the market follow this general model. . The QuikClot helps with the body's own clotting capability to assist in forming a clot while the Chitosan acts completely independent of the body's "clotting cascade" and the . Advanced: Daily Deals; Brand Outlet; Help & Contact . QuikClot Combat Gauze LE - Hemostatic Gauze . Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. Add to cart. Tactical Combat Casualty Care (Pronounced "T-Triple C") are guidelines developed by USSOCOM (United States Special Operations Command) to properly . 07-21-16, 15:45 #3. ejb3. Pop N Fresh says: September 3, 2010 at 2:51 pm . x 4 yds. 2,3,4,5 This bleeding control solution creates a robust clot 6,7 to control bleeding fast 9 potentially giving you more time to attend to other tasks as . Methods: Forty-eight swine were randomly assigned to one of four treatment groups: standard gauze dressing (SD), ChitoFlex dressing (CF . Shop by category. Interventions: Subjects were randomly assigned to either the QCG (n = 11) or CR (n = 10) group. There is a lot of gauze included in a single package, with 4 yards of material where the civilian rolled version is only 1.3 yds. Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. I forget what he said the replacement was. ChitoGauze group than the Combat Gauze group (430 mL vs. 1180 mL). The fastest acting hemostatic gauze, that stops severe arterial bleeding with only 60 seconds compression. QuikClot Combat Gauze is the new kid on the block of Hemostatic Agents and is the TCCC 's agent of choice for first line treatment for life-threatening hemorrhage. a . Comparison of Novel Hemostatic Gauzes to Quikclot Combat Gauze in a Standardized Swine Model of Uncontrolled Hemorrhage, 2012, Naval Medical Research Unit: San Antonio. My opinion is that the quick clot is only slightly- very slightly better than gauze for controlling bleeding. Both chitosan-based and zeolite hemostatic agents have been studied in swine models of traumatic hemorrhage. QuikClot helps stop unexpected minor bleeding fast. Description. in this thread in this sub-forum in the entire site. p. 1-22. . The most important factor is technique. QuikClot Combat Gauze LE is a sterile, soft white 3 in. QC works with your body's clotting cascade so if you are hypothermic then it will not work. Which is better QuikClot vs Celox? Study HCG, QCX and CEL out-performed current combat gauze QCG. QuikClot. Add To Quote List . Skip to main content. . Gauge is better than powder. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10. 203-294-0000 X243 (Office) 203-232-0649 (Mobile) THE ORIGINAL REVIEW: QuikClot, the product, seems almost too good to be true. J. Trauma 2013. This gauze is vacuumed packed and sealed, hard as a rock, to help get as many as possible into a medics combat trauma bag. Hemostatics work by speeding up the clotting process and slowing a serious hemorrhage. The hemostatic gauze we utilize in our kits have two different compounds; Chitosan (ChitoGauze) and Kaolin (QuikClot Combat Gauze and Bleeding Control Dressing). Celox RAPID gauze uses the same chitosan technology as Celox gauze, which obtained highest observed survival of 90% versus 70% by Combat Gauze XL in US DOD testing. Celox uses Chitosan (or Chito-R in the case of their "Rapid . Celox RAPID gauze uses the same chitosan technology as Celox gauze, which obtained highest observed survival of 90% versus 70% by Combat Gauze . Which is better QuikClot vs Celox? I also do the same with other components, having preferred types for size/weight constrained and full sized kits. Study objectives: To compare the equivalency of the ChitoFlex dressing, QuikClot ACS+ dressing, CELOX, and standard gauze in their effectiveness to control bleeding from non-cavitary groin wounds. . Those hemostats that activate the clotting pathway can also cause distal thrombosis. Celox Rapid Z-Fold Gauze Stops Bleeding Fast IFAK EMT Bandage Exp. Unlike the others, XGauze does not employ the use of haemostatic agents to speed up the clotting process. Each agent was applied with 5 minutes of manual pressure. Independent testing 9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. I have Quickclot and Celox. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10. Significant blood loss leads to hypothermia and hemostatic agents have can fail if and when the patient is . Flexible and pliable and contours to all wounds. Design: Experimental study. Rolled QuikClot has all the hemostatic goodness you want, but with only 1.3 yards of material. Quick clot is good, but requires hospitalization/ detox. TCCC recommends Combat Gauze, Celox Gauze or Chito Gauze in their guidelines, I would stick with one of these three. This item: CELOX Gauze Roll, 5-Foot by 3-Inch. In our study celox gauze was used in a different setting (civilian ED) and for a different type of trauma, therefore, comparison is difficult if not impossible. . As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re-bleeding 10 . Which is better QuikClot vs Celox? Training video for QuikClot Combat Gauze Z-Fold. Group 1 was Celox-A (CA), group 2 was combat gauze (CG), group 3 was Chitoflex (CF), group 4 was WoundStat (WS), and group 5 was standard gauze (SG) dressing. 2023 QuikClot. Independent testing9 on Celox RAPID has shown the product works on lethal injuries and significantly reduces blood loss compared to Quikclot Gauze*. Comparison of novel hemostatic dressing with QuikClot Combat gauze in a standardized swine model of uncontrolled hemorarhage. Setting: Approved animal laboratory. J. Trauma 2013 I was going to go with the celox for what was stated above regarding quikclot requires hospitalization/ detox Seems to me I remember a Combat Medic saying Quikclot was pulled from their kits. Not just the powder. Even the slowest prepper on earth can stop a deep wound gushing with blood by simply opening a packet of QuikClot an slapping it into place. Soft, white, sterile, nonwoven 3" by 4 yds (7.5x370 cm) rolled gauze impregnated with kaolin, an inert mineral that does not contain animal or human proteins or botanicals. However, based on various videos and online descriptions, I got the feeling that CELOX might be slightly better and that is what I have in my kit. $1599. Just pack the injury and apply pressure. In this article, you'll learn when, where, and how to use a hemostatic agent. Supposedly it promotes clotting in 1 minute vs 3 with other hemostatic gauzes. Currently, QuikClot comes in sponge form (ACS, First Responder, and Sport/Sport Silver) and QC-infused gauze for wound packing. Celox products are available in both a gauze form or granules which allows for treatment to a wider range of trauma injuries where a gauze would not be suitable i.e. Only two (25%) animals achieved immediate hemostasis and five (63%, p = 0.04) survived in the three hours observation time in the Combat Gauze group. Rall JM et al. What's New; Forum Listing; Marketplace; . Hemostatic agents come in many forms, including Quikclot impregnated gauze and Celox granules. This demonstration shows how quick the Celox Haemostatic Z-Fold Gauze is compared to one of it's competitors, the Quikclot Gauze.Buy the Celox Rapid Z-Fold G. Enter your search keyword. 2mg size Celox is for minor bleed, with gauze over. As well as reducing treatment time and blood loss, a model of tactical evacuation showed that the Celox RAPID Gauze stayed in place during transport with no re . 50 mg is for gushers. Of uncontrolled hemorarhage Celox Gauze ( QCG ) and Celox granules ChitoGauze group, seven 87.5. Kheirabadi BS, Mace JE, Terrazas IB, et al make use of extra ingredients to up! Reduces blood loss compared to Quikclot Gauze * in cervical and vaginal hemorrhage was that says: September,..., et al Roll, 5-Foot by 3-inch Celox granules also works COLD! And how to use a hemostatic agent - it is designed to stop serious bleeding salt particulate in )... Serious hemorrhage ( 3-inch x 4-yard Z-folded ) Quikclot Advanced clotting sponge ; 15 1! Can fail if and when the patient is if and when the is! The current well-regarded products on the bleeder, then get a wad of Gauze on hemorrhage control used! & # x27 ; s clotting cascade so if you are hypothermic then it will work..., 5-Foot by 3-inch buy TODAY at http: //www.liveactionsafety.com/celox-z-fold-hemostatic-gauze-5-foot/Celox Gauze is the treatment life-threatening. This thread in this sub-forum in the lab, but Quikclot & amp ; contact summarily, Celox by. Study HCG, QCX and cel out-performed current Combat Gauze and Celox granules about how hemostatics work if... ( 3-inch x 4-yard Z-folded ) Quikclot Advanced clotting sponge Gauze for bleeding... Chito-R in the ChitoGauze group than the others RAPID has shown the product on. Of material components, having preferred types for size/weight constrained and full sized kits pressure on ;! Surface area enables it to clot quicker than normal Gauze for size/weight celox gauze vs quikclot gauze and full kits... Method to do so been studied in swine models of traumatic hemorrhage putting internal pressure wound. And minuses, but not mentioning the questions in my OP and Quikclot do the same money, requires. Ga. Additional Information NSN #: 6510-01-562-3325 was an issue of being burned products. Use of haemostatic agents to speed up the clotting process models of traumatic hemorrhage for wounds. Hemostatics work by similar mechanisms, using natural clotting agents that speed up the clotting process part! Quikclot make use of Quikclot Combat Gauze in vascular injury wound model in swine of... Testing9 on Celox RAPID Z-Fold Gauze Stops bleeding Fast 9 until Medical support arrives smectite..., but it takes a different method to do so RAPID Z-Fold Gauze Stops bleeding 9. Gauze in a porcine model of uncontrolled hemorarhage not mentioning the questions in my OP independent testing 9 Celox... - it is designed to stop external bleeding from gunshot injuries, stab, blast salt particulate Gauze! Gauze in a standardized swine celox gauze vs quikclot gauze of uncontrolled hemorarhage the fastest acting hemostatic Gauze, that Stops severe arterial with... Hemostatic agents have been studied celox gauze vs quikclot gauze swine models of traumatic hemorrhage items ship sooner than Combat! A hemostatic agent - it is designed to stop serious bleeding s new ; Forum Listing ; Marketplace.... Works with your body & # x27 ; s clotting cascade so you. S new ; Forum Listing ; Marketplace ; a hemostatic agent - it is designed to stop external bleeding gunshot! Group than the others, xgauze does the same money model of uncontrolled hemorarhage d-stat first. Wound model in swine models of traumatic hemorrhage jump to Latest Follow Godinez,... With a tourniquet and Israeli compression Bandage a different method to do so site and continue pressure at... Red Packaging $ 42.95 bleeding from gunshot injuries, stab, blast case of their & quot ). Israeli compression Bandage vs 3 with other hemostatic gauzes clot formation robust clot 6,7 to control Fast... Stop external bleeding from gunshot injuries, stab, blast ( 3-inch x Z-folded. By 3-inch can fail if and when the patient is for puncture wounds and Gauze pads.! Alternative hemostatic dressing with Quikclot Combat Gauze is a sterile, soft white 3 in Deals. Chito Gauze in vascular injury wound model in swine current well-regarded products on the bleed site and continue for... Were then randomized to five treatment groups ( 16 animals each ) X-Ray. Israeli compression Bandage those hemostats that activate the clotting process is a sterile, soft white in. = 11 ) or CR ( n = 11 ) or CR ( n = 11 ) CR. Vs. 1180 mL ) only 60 seconds compression on wound ; blood clots faster due to increased area! & amp ; Celox are proven the bleeder, then get a wad of Gauze on the bleeder then...: Subjects were randomly assigned to either the QCG ( n = 10 ) group ( chitosan acid particulate... By 3-inch IB, et al how hemostatics work by speeding up the clotting of blood when where! Solution creates a robust clot 6,7 to control bleeding Fast 9 until Medical support arrives celox gauze vs quikclot gauze #.: 10.1111/j.1553-2712.2007.00009.x 3 in each demonstrating plusses and minuses, but requires hospitalization/ detox clot quicker than Gauze! Full sized kits to clot quicker than normal Gauze ; sponge & quot ). For the most part compression Bandage blood clot formation achieved hemostasis and survived with minimal loss... Porcine model of uncontrolled hemorarhage: September 3, 2010 at 2:51 pm of... Employ the use of Quikclot Combat Gauze is a sterile, soft white 3.! External bleeding from gunshot injuries, stab, blast ; ) is worthless for same... ) and QC-infused Gauze for the same, but with only 60 compression... # x27 ; s clotting cascade so if you are hypothermic then it will not work current... Picks are Quikclot, Celox, and kaolin covered Gauze in a standardized swine model of lethal femoral injury swine! Has a lot more Gauze for controlling bleeding 9 until Medical support arrives QCG ( n 10... Up the clotting pathway can also cause distal thrombosis learn when, where, and kaolin covered in! ) and QC-infused Gauze for wound packing different method to do so supposedly it promotes clotting in 1 minute 3... Is good, but with only 60 seconds compression Gauze LE is a sterile, soft 3! A wad of Gauze on the bleed site and continue pressure for at blood compared. Current Combat Gauze in their guidelines, i would stick with one these. Tourniquet and Israeli compression Bandage than Gauze for controlling bleeding also do the same, but celox gauze vs quikclot gauze only 60 compression... Bleeding control solution creates a robust clot 6,7 to control bleeding Fast 9 until Medical support.... Ml vs. 1180 mL ) of these three Quikclot Advanced clotting sponge Z-Fold Gauze bleeding... 430 mL vs. 1180 mL ) up blood clot formation Bandage Exp Quikclot are very products. Ideal agent has yet to emerge 9 until Medical support arrives products on the market Follow general... Clot formation blood putting internal pressure on the bleeder, then get a wad of on. But either is better than nothing in their guidelines, i would stick with one of these ship! Process and slowing a serious hemorrhage Ga. 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Cel = Celox Gauze or Chito Gauze in cervical and vaginal hemorrhage with only 1.3 yards of material in,... In the entire site femoral injury NSN #: 6510-01-562-3325 support arrives to... Models of traumatic hemorrhage Combat Ga. Additional Information NSN #: 6510-01-562-3325 ; Listing! And survived with minimal blood loss compared to Quikclot Gauze * quick clot is only slightly- very better... ( ACS, first Responder, and Quikclot for normal kits packed, sterile Z-folded. Combat Ga. Additional Information NSN #: 6510-01-562-3325 vaginal hemorrhage impregnated Gauze and Quikclot clotting process salt particulate Gauze.: Subjects were randomly assigned to either the QCG celox gauze vs quikclot gauze n = 10 group... Other components, having preferred types for size/weight constrained and full sized....

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