Quote:
Originally Posted by Odin21
In a publication on Lessons Learned a SFC Alex Alvarez reportedly used rVIIa in the field to help control bleeding in a noncompressable abdominal hemorrhage. He advocates form more rVIIa to be carried as well. The write up is on page five of this PDF.
https://www.google.com/url?sa=t&sour...z_s7p1Saisgjkw |
Can't open the link.
There are plenty of anecdotal "saves" using rFVIIa. I have even given it once or twice myself and thought it contributed to hemostasis... But the plural of "anecdote" is not data...
It has been fairly well established that NovoSeven is NOT the bleeding panacea we once thought it was. While I could not open that link, I really, really doubt that the F7 had any role in saving that patient.
Given the current data on it's effectiveness, and role in traumatic coagulopathy, and the logistical problems even with the "room temperature stable" product, I think it would be a fool's errand to equip 18Ds with it. Tranexamic acid, on the other hand, appears to be both beneficial, safe, temperature stable and relatively cheap.