Current Content
Volume 45 - Number 6
November/December 2019

Integrating Tactical Hemorrhage Controls Into Pediatric Trauma Care
Derek Shang

Post-9/11 conflicts have led to the development and use of innovative battlefield trauma medical equipment, yet many pediatric emergency/trauma nurses are unfamiliar with these devices. Learning deficits currently exist despite the necessity for all pediatric trauma centers and accepting regional hospitals to be prepared for multiple pediatric traumas requiring immediate hemorrhage control. Gaps in current emergency nursing educational courses lack familiarization of the use of these methods in pediatric patients. Although previous literature has clearly indicated the positive effect of the use of tranexamic acid (TXA), tourniquets, and hemostatic dressings for hemorrhage control in adult patients, few studies have examined their use in pediatric trauma patients. A review of the existing literature explores demonstrated safety and efficacy of TXA, tourniquets, and hemostatic dressing when used in pediatric populations. Recommendations on how to best incorporate and develop training on these methods for pediatric nurses to further improve trauma outcomes include developing institutional standards of use, closing gaps in certifications, and expanding education of tactical hemorrhage controls to non-emergency department personnel.