QuickClot Gauze Application: Step-by-Step Guide for Hemorrhage Control

QuikClot (kaolin-impregnated) gauze accelerates clotting by activating the intrinsic coagulation pathway. Mastering the correct technique is critical for effectiveness and patient safety in life-threatening bleeding.

When to Use QuikClot Gauze

• Life-threatening external hemorrhage not controlled by direct pressure alone.
• Junctional wounds (neck, axilla, groin) where a tourniquet cannot be applied.
• Deep, packable cavity wounds.

Step-by-Step Application

1. Expose the wound: Cut or remove clothing. Identify the exact bleeding source.
2. Pack the wound:
   • Open the package; remove gauze holding the tail to avoid contaminating the hemostatic surface.
   • Pack directly into the wound cavity, targeting the bleeding vessel.
   • Pack tightly — fill the entire depth. Do NOT leave gauze loose or superficial.
   • If the wound is too narrow, fold or roll the gauze to fit.
3. Apply firm, direct pressure: Hold for a minimum of 3 minutes (use a timer). Do not peek or release pressure.
4. Reassess: If bleeding continues, pack additional gauze (leave the original in place) and hold pressure for another 3 minutes.
5. Secure with a pressure dressing: Apply an elastic bandage over the packed wound. Confirm a palpable distal pulse.
6. Document: Record the time applied, number of gauzes used, and wound location.
7. Transport: Keep the gauze in place; do not remove it in the field. Hospital staff will remove it under controlled conditions.

Critical Do's and Don'ts

DO	DON'T
Pack tightly to the bone	Wipe the wound before packing (removes clotting factors)
Hold continuous pressure for 3+ minutes	Apply on top of the wound without packing (superficial application)
Leave gauze in place for transport	Remove to "check" if bleeding has stopped
Use for junctional wounds	Use in chest, abdomen, or head (non-compressible cavities)
Monitor for compartment syndrome	Apply over a tourniquet (place tourniquet proximally instead)

Training Note

Hands-on practice with training gauze is essential. QuikClot is an adjunct to — not a replacement for — tourniquets on compressible limb injuries.