Providing care for severely injured people is a significant challenge in civilian settings. Carrying out the same care during military operations means having to face the additional challenges of enemy fire, long travel times and distances, and inadequate supply. Yet, first aid has a decisive impact on the injured person’s chance of survival. Within the scope of the TraumaCare research project, Fraunhofer ISC is working alongside the German Armed Forces Hospital in Ulm to develop a solution that will enable first responders to treat severely bleeding wounds whilst they wait for professional medical care to become available.
Administering quick and effective first aid in areas of military conflict, in crisis situations such as terrorist attacks, and following accidents and disasters often constitutes a major challenge. Severely bleeding wounds, in particular, represent an acute threat to the survival of those affected. Uncontrollable bleeding often means that victims die at the place of injury before they are able to be treated in hospital. The TraumaCare project was launched with the aim of finding solutions to help better manage these life-threatening situations. The project is dedicated to the development of an easily applicable wound paste that first responders can use to stop bleeding and close the wound until professional surgical care can be administered in a medical center.
Current methods used by first responders to treat severely bleeding wounds include mechanical ligatures, hemostatic dressings (dressings that stop the flow of blood), and tissue adhesives. However, these treatments have their limitations in terms of applicability and the potential risk of additional tissue damage. TraumaCare is therefore working on finding an approach that will overcome these disadvantages.
The TraumaCare concept is based on three individual components. Firstly, fibers are used to mechanically strengthen the material. Secondly, a swellable component is employed that is able to fill the entire shape of the wound and generate counterpressure and, finally, a bonding component ensures that the overall material hardens into a stable closure.
In a proof-of-principle experiment, the developed material was tested on a cannulated pig hind leg. For this, the arterial system of the leg was flushed with a phosphate-buffered saline solution. Once the research team had used a stabbing tool to cause an injury, they applied the three-component material. After briefly and gently pressing the paste onto the wound, it quickly hardened, successfully closing the wound. The material could then be easily removed without affecting the intact arterial system.
Based on these promising results, the TraumaCare team plans to continue the project in the form of TraumaCare II, beginning in 2024 and running for two years. This next step will focus on developing an applicator to enable easy handling and transport of the material. In addition, standard operating procedures (SOPs) for material production will be drafted and suitable sterilization, packaging, and storage methods identified.
The goal is to obtain approval as a medical product so that the first-aid wound paste can be applied in medical practice.