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My main strength is as an Achiever. For the selection of my team, I chose Sheila (Strategic), Andrew(Activator), Abraham ( Arranger), and Rachel (Restorative) and Randall (Responsibility). Sheila was chosen for her ability to make decisions as well as for her judgement. Andrew was chosen for his initiative and ability to keep the team looking forward. Abraham was able to maintain organization. Rachel was chosen for ability to problem-solve and troubleshoot. Finally, Randall was chosen for his accountability.

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Editors, M. (2015, December 08). Medgadget. Retrieved October 06, 2020, from https://www.medgadget.com/2015/12/xstat-gunshot-wound-dressing-cleared-civilian-use-u-s.html

(2013, January 28). Retrieved October 05, 2020, from https://www.accessdata.fda.gov/cdrh_docs/reviews/K130218.pdf

INTRODUCTION TO TACTICAL COMBAT CASUALTY CARE. (2020, January 30). Retrieved October 05, 2020, from http://www.naemt.org/Education/IGa%20Intro%20to%20TCCC%20with%20Notes%202-17-09.pdf

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The new syringe device ensures that the pellets are more easily introduced to the wound without them blowing away or falling on the floor. Overall, this new application has been extremely effective. However, if the wound is too deep and the syringe is not applied deep enough, the giant pellet-formed clot will not reach the source of the the bleed. This can cause additional pooling inside the wound causing more loss of blood.

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Main source  https://www.medgadget.com/, article publisehed December 08, 2015.

Military medicine has paved the way for civilian emergency medicine starting with the first Combat Medics. In this Padlet we will discuss hemorrhage control but there are several examples of military techniques that were eventually transitioned to the civilian sector. The leading preventable cause of death in the field is hemorrhaging from extremities (NAEMT, 2020). Beginning in the 80's, QuikClot was introduced to the battlefield. The major intervention for bleeds in the field are tourniquets and the application of hemostatic pellets or gauze. There has been a great progression from the initial rollout of the QuikClot powder to the XStat we know today.

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There were many problems with the initial rollout of the QuikClot powder. One major example was that the powder would get caught in the wind leading to eye injuries. Another example was that the main ingredient, Zeolite, had an exothermic reaction when clotting blood causing many first or second degree burns.

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In 2008, the main ingredient Zeolite was impregnated into gauze making Combat Gauze the official selection of the US Army. In 2012, Zeolite was changed Kaolin, an inorganic material that caused no exothermic reaction. Kaolin acts on clotting Factor XII and initiates the coagulation cascade. The new and improved Combat Gauze also had its faults. When in the field, soldiers would accidentally drop the gauze causing it to unwind and unroll out on the floor.

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It wasn't until 2014 that a new mechanism was developed. The XStat is a syringe full of pellets that are also impregnated with the same Kaolin formula and provides more accurate delivery to wounded soldiers (FDA, 2020).