people are saying
"...Before I deployed to Iraq I was able to obtain a sample of Celox. I augmented my IFAK (individual first aid kit) with Celox as well as other items. I had a large and small packet of the Celox granuals. The small packet came in handy when I had a patient present to my aid station with a severe case of Epistaxis very early in the morning. I tried everything I knew of to stop the bleeding but to no avail. I then went for the Celox and that did the trick. Working in such an arid climate as Iraq the nose dries out and people are subject to nasty nose bleeds..."
John Tarantino, Florida US
"...I had the opportunity to use CELOX on numerous times on some serious wounds and was very impressed. I found it to be the easiest
to use and the easiest to train people to use. It also allowed for the correct of improper placement after initial application. When
I used the product I used it like it would be used in combat. We applied the CELOX, packed the wound with gauze and wrapped it up with
an elastic bandage (or in some cases we did all of this with an Olaes bandage). As soon as it was wrapped, we let it go and moved on
to other injuries or engaged the "enemy". It worked very well. We never held direct pressure for than 1-2 minutes..."
Ross - Retired 18-D
"...Some of my medics used CELOX a few weeks ago and were very impressed with its clotting capability. We only had one re-bleed
but that was because the medic didn't actually visualize the site and simply poured the packet into the wound cavity. Repositioning
the patient so the CELOX came in contact with the wounded artery solved the problem without the need for a second packet..."
Ken B - US Army
‘ ..The Celox applicator that I used was very easy. I actually primed the end of the barrel a little to make sure that it was
not clogged. I inserted it about 2 inches into the wound and inserted all of its contents without any problems in about 1second. The
wound was a blast injury with some major distal bleeding. The laceration was about 7 inches in length and full thickness to the
bone with major cavitation. One of the distal vessels in the leg was bleeding very badly and when I saw him he had on a tourniquet.
The Celox was introduced with a bandage and the tourniquet was removed. There was no further bleeding from the wound. This was my first
time using the new applicator and as I expected, it worked amazingly. The tube filled the wound deep and directly where I needed the
Celox. Of course the Celox did an amazing job getting the bleeding under control and made the patient more stable, manageable and was
a life saving intervention...’
J.S - Navy Seals Medic
"...We have tried the new CELOX and found it to be a really great product..."
Ian T - MD, Canada
"...I have used your product in the real world and it works great, plus the price and performance is twice that of the competitive
products. I am trying hard to get my command on board but do not have any left on me to show them. I only had three packages and used
them all. I I can get command on board I will be purchasing a large amount on a regular basis. am a senior medic with 1st Special Forces
Group out of Okinawa, Japan..."
"...I guess I'll start off by saying I'm bad with names. I guess if it's not written on their uniform I tend to forget. I really
enjoyed the presentation of the product, I will say I was skeptical, until I tried it for myself. I really love the product, to the
point of most of the medics are putting a fund together, if the army wont buy it for us we will buy it ourselves. I want to thank you
for bringing another product to the table that will make my job that much easier..."
MA Bravo 4-9 Cav
"...I can tell you right now as for myself, CELOX is without a doubt the most exciting hemostatic dressing I have had the opportunity
to work with. It is extremely easy to use, almost foolproof. I believe every soldier, not just every medic should carry CELOX on their
"...I finally got to try CELOX and was very impressed. Had a casualty in a controlled environment with a deep femoral bleed. A
tourniquet was initially placed on the wound. The wound was wiped out with Kerlix and CELOX was poured into the wound. The tourniquet
was removed, whilst direct pressure was applied to the wound. After 6 minutes pressure was removed and everything was good..."
Emergency and First Aid Testimonials
“My very active son gets nosebleeds that normally have him out of action for a good 20 minutes until they settle down. I used Celox First Aid Nose Bleed dressing on him this weekend and the bleeding stopped immediately!! He was able to go straight back outside and play. He now has a small pack in his school bag so that he can treat his inexplicable and oftern embarrassing nose bleeds there”.
Jessica Polglase - Mother
"The stab wound was with a kitchen knife, rib space 4-5 anterolateral, when we arrived. The patient was in clear hypovolemic shock status from the blood he had lost. The wound was not only penetrating but also turned so that we had free space for about 3 cm wide and 15-20ft long. It was when I used Celox to stop the bleeding and like by the hand of God, after 5 minuets it stopped. The main is living and fine because of Celox”.
Romeo Brancu – Paramedic
“There was a trauma patient involved in a car accident who had suffered abdominal open wound. The blood loss was significant and there we had the chance to save a life with the use of Celox. The bleeding stopped and in surgery they were able to reassemble his iliac artery and he lived”.
Romeo Brancu – Paramedic
“During day time EMS station got called to a home conflict, a young man was injured with a knife. Brigade 01 was at the scene and was carrying Celox Granules and at the scene, thy found the patient with stab wound in hypogastria area. The wound was around 3cm in length and there was massive bleeding. The patient was in shock and Celox 15g granules were poured into the wound, bandage was applied. Anti-shock treatment was administered; patient stabilised and was transported to KMUK emergency service section”.
Irena Dabulskiene - Kaunas City Emergency Station
“Brigade 02 was called to a young man who was attacked and stabbed by some kind of sharp object while walking from a nightclub. The crew carried Celox and when they arrived the young man was on the ground surrounded by a large quantity of blood. The wound was 2-3cm in length in left side of nates and around 1-2cm in left hip. Patient was in shock and treatment was applied while 15g Celox Granules were used to control the bleeding. A sterile bandage was applied and the bleeding stopped. The patient was transferred to KMUK emergency service section”.
Irena Dabulskiene - Kaunas City Emergency Station
“...Several days ago my daughter dropped a standing mirror on herself, making 5 deep cuts on her face. She was bleeding very badly, so I ran and grabbed the Celox granules and applied them to the wound. After 20-30 seconds the bleeding stopped and she came out of shock. Once at hospital the doctors were amazed at how the Celox granules had stopped the bleeding and controlled a potentially fatal injury. A Doctor stated that a wound so near to the forehead would be very hard to control with towels, and the use of the haemostatic granules reduced the large quantity of blood she would have lost. I was surprised at how quickly Celox stopped the bleeding...”
"...As it turned out, yesterday afternoon we were called to a fallen climber with an open pelvic fracture who very nearly exsanguinated and died at the bottom of the crag. I used Celox, and it managed to control his massive external haemorrhage until he reached the hospital via air ambulance.
The Consultant receiving the patient at the hospital was very complimentary about Celox, saying it probably helped save the young lads
life. I think you'll be getting a few more orders from mountain rescue now!"
Dr Steve Rowe, Medical officer PDMRO and Edale MRT
"...I was very pleased with this new product CELOX and the way it performed. I was even more amazed at how even with the improper
application, one package was capable of treating more than one wound (three to be exact). The CELOX product not only surprised me but
gave me hope that this may make it to our troops and since I noticed no heat generation by the CELOX product and the fact that even
with improper application it works very well, that if applied correctly with a very serious injury it will perform as expected without
the side effects..."
Chris W - Fire Dept. TX
"...Regarding CELOX, we have some results from one of the biggest hospitals in Lithuania; they tried it on a man whose hand was
crushed in a car accident and they are very happy with the results as the bleeding was stopped very quickly..."
"...We had an elderly lady with a massive facial tumour who developed bleeding from her tumour at home. Fire departments responded
to the scene and were not able to control bleeding. Evaluation by paramedics with the ambulance service not able to stop the bleeding
with pressure either. The paramedic then chose to use CELOX and with pressure the bleeding was rapidly controlled and the patient was
transported to the emergency room for definitive care. The emergency department was very happy with the care provided to the patient..."
EO, Professor of Emergency Medicine and Family Medicine
"...Had a patient with leukaemia and head laceration yesterday. Older person from a nursing home. Bleeding briskly and large scalp
hematoma. Medics milked out hematoma and put CELOX into the wound. Worked like a charm. Her platelet count was low but she still clotted..."
"...I approached the male and saw that he was holding an infant that seemed to be bleeding profusely. I open the blanket and realized that the infants head had been cut severely and looked to be fatal if not treated extremely quickly.
The skin was cut an inch from the centre of the forehead all the way down to the middle of the ear. The cut was 4 - 5 inches minimum. I put CELOX on the wound to stop the bleeding or else the infant would die of blood loss. I told the father to hold the infant as still as possible and for the boy to not open his eyes, as the CELOX could not enter his eyes.
I placed the skin back into place the best I could. I then poured the CELOX onto the skin and wrapped the bandage around the infants head. I then took my permanent marker and wrote, “CELOX - Haemostatic agent - used on infant.” I gave the package of CELOX for the father to hold and give to the paramedics.
The EMS crew said that if I wouldn’t have rendered aid or had a medical kit to this stature on my person, the infant would have best case scenario severe brain damage due to massive blood loss or worst case scenario (most likely) the bleeding would have proven fatal. If not for the product CELOX this infant would have died..."
"...My name is Nicholas Puff, I work as a Paramedic at Skyline Hospital in White Salmon, WA. I want to share my experience with the Celox
Our crew was dispatched to a large caliber GSW to the chest. After isolating the right lung, both entrance and exit wounds were sealed using the Celox product. The patient was able to maintain excellent vitals through-out the transport to the receiving hospital. Celox enabled us to focus less on the injury and more on other life saving skills. All staff members involved commented on the lack of blood loss present for such a significant wound. After seeing the effectiveness of this product I recommend using Celox as the first-line in hemorrhage control agent..."
"...The case was a 48 year old male with varicose veins in his
leg and foot. EMS was called after one began bleeding.
Simple pressure was not very effective in stopping it. EMS
applied Celox and bandaged the foot. He came to the ED
with no further bleeding. Celox was washed off and he was
discharged without further need for treatment..."
Marvin Wayne, MD, FACEP, FAAEM
"I have a fungating axilla. The tumour is through the skin and is subject to uncontrollable arterial bleeding. Thank goodness for the Celox. It has stopped the uncontrollable bleeding many times. It is so reassuring to have and has vastly improved my quality of life. I do all my own dressings. If the bleeding starts I have the Celox ready with gauze to cover, and immediately apply it with pressure over the wound. I wait no more than about 6 minutes and the bleeding has been contained. No need to call an ambulance and go to hospital.
"In the hospital all they do is keep putting pressure dressings on over and over each time blood comes through. In the end I feel like a mummy! In the past I have lost a lot of blood and had to have blood transfusions. Previously I’ve laid in the GP’s surgery for up to 3 hours whilst the practice nurses tried to stem the bleeding. Then I’ve been rushed to hospital and go through the dressing procedure over and over."
Cases where Celox has been lifesaving when used in the operating room.
(Reported in the Annals of Thoracic Surgery)
63 Year old male underwent CABG on pump. Bleeding from the surface of the heart at the site of the LAD anastomosis was troublesome. The patient received FFP, Platelets, Cryoprecipitate and Factor VII, together with topical Floseal. He was transferred to the intensive care unit but required re-opening for ongoing bleeding. Conventional haemostatic agents were again applied but the bleeding continued. Celox was applied and the bleeding ceased with a few minutes of gentle pressure. The chest was then closed almost immediately.
(Reported in the Annals of Thoracic Surgery)
50 year old male was admitted with a stab wound to the root of the neck and a massive haemothorax. He was transferred emergently to the operating room and underwent a thoracotomy. In spite of liberal use of conventional haemostatic agents and blind attempts at overseeing the bleeding site control could not be achieved and he suffered a cardiac arrest in the presence of ongoing bleeding. He was resuscitated and Celox applied to the site of the injury. Haemodynamic stability was immediately achieved as the bleeding then stopped.
A 75yr old female underwent CABG with a prolonged in hospital stay from a wound infection. 19 days post-operatively she suffered a major arterial bleed from her wound and was transferred emergently to the operating room. Re-sternotomy showed a spontaneous perforation of the ascending aorta. Haemostasis was easily achieved with Celox in spite of the central arterial pressure. The situation was stabilised and conventional repair could then be safely undertaken.
(Reported to me)
Patient with pelvic bleeding after an AP resection. The bleeding was deep and access was difficult. Attempts with deep sutures and surgicel were unsuccessful. “I was impressed with the effect of Celox, which allowed control of the haemorrhage after approximately five minutes of pressure.”
(Reported to me)
"Accidental injury to the abdominal aorta during laparoscopy. Celox gained haemostasis and allowed the patient to be opened in a haemodynamically stable position and surgical repair to be effected."
(Reported from Turkey)
"A 65 year old female underwent mitral valve repair and ascending aortoplasty for aortic regurgitation. The aortotomy bled and a second bypass run was required for aortic replacement to control haemorrhage, which then continued unabated. Packing was unsuccessful and Celox was applied to the bleeding site, resulting in rapid haemostasis."
(Reported from Turkey)
"A 24 year old male patient was brought to the emergency service with a gun shot wound to the left supra-clavicular area and neck. Median sternotomy was performed and the incision was prolonged to include the left supra-clavicular region. Injuries to the left subclavian artery and vein, the left common carotid artery and to the left internal jugular vein were identified. The damaged vascular structures were surgically repaired and the haemorrhage from those areas was controlled. However, on the left side of neck there was haemorrhage from deep cervical areas and it was impossible to clearly identify its origin and achieve control surgically by suture or mechanically by pressure. Eventually Celox granules were applied into the bleeding area and compressed with a sponge for a 5 minute period. This achieved haemostasis."
"I used Celox today whilst opening a very difficult re-do case. The innominate vein was damaged early on whilst opening the sternum. It was very stuck to the back of the sternum and I entered it with the sternum only partly open. I packed it with gauze swabs in the conventional fashion but it continued to bleed. In this situation you can not just open the sternum because it then tears and a minor problem becomes a disaster. You have to either cope with it bleeding and use lots of discard / cell saver suction, or heparinise which always leads to much more bleeding later. In the worst case scenario you end up on emergent femoral bypass with all the problems that can cause (multiple transfusions etc.)
Solution: about 5gm of Celox or less onto the innominate vein, damp swab on top. Bleeding stops and leisurely (aka careful) mobilisation of the heart from the sternum and continue with the procedure. I couldn't claim I actually saved a life with it, but I certainly made life a lot easier. (And probably saved a lot of blood products and attached risk.)"
Cases 1, 2, 6 and 7 were clearly saved by the use of Celox. Cases 3, 5 and 8 were stabilised from life threatening bleeding and allowed
time for conventional measures to be undertaken. Case 4 might have responded to prolonged packing, possibly a staged re-laparotomy,
and multiple transfusions; i.e. the conventional approach. Clearly however was much better served by rapid achievement of haemostasis.
Provided by Russell Millner, Blackpool Victoria Hospital, UK.
"...I want to relate an interesting call where Celox made an
enormous difference. First case was a 80 year old female
with renovascular hypertension and need for dialysis. To
make matter worse she was on Coumadin and was had an
extremely high blood pressure. She needed her dialysis to
reduce the pressure. She developed a spontaneous bleed in
her dialysis shunt. In fact it was extremely high pressure
bleeding and would not stop with pressure and pressure
dressing. She came to the ED with a BP of 190/70 active
bleeding in her arm and an INR of 2.1. I applied Celox and a
pressure dressing and 10 min later she was bloodless and
after washing off the Celox she went on to dialysis..."
Marvin Wayne, MD, FACEP, FAAEM
And a report from a missionary hospital in Africa
I had hardly slept the night before anticipating the complexities of operating on this man's neck. He had a mass bulging out under his right mandible which looked like a bunch of large grapes with bearded skin stretched tightly over them. The mass was smooth and lumpy and about the size of a large grapefruit. He'd been to many other hospitals who'd told him there's nothing that can be done.
The surgery started off bad with a difficult intubation. I put the laryngoscope into his mouth only to find myself faced with a looming open esophagus and no vocal cords in sight. I pulled up with all my strength, tried repositioning the head, had someone try and push his voice box down, all to no avail. Finally, I blindly inserted the tube above where I could see the esophagus and pulled out the guide wire. As my cousin Jenny filled up the cuff with air and my cousin John attached the ambu-bag I looked for the telltale signs of vapor on the tube. Then, Jenny verified that there were breath sounds.
Unfortunately, at this time his oxygen saturation started to fall as his pulse jumped up to 172 beats per minute. I listened to his lungs and they were clamped down like a severe asthma attack. I quickly asked Simeon to give him some IV steroids and Chelsey to run to the pharmacy for some bronchodilators. It was about this time he started to grunt and clench his jaw and hands while straining like he was going to burst through some invisible barrier like the Incredible Hulk transforming himself into the Green Monster. I shouted at Simeon who quickly gave him more Diazepam on top of the Ketamine.
Finally, after about 30 minutes, we had him sedated enough, airways open enough and heart rate down enough to start the hard part of the case.
I had dissected the skin off the mass and was working my way around the lateral side underneath the tumor when I got into the jugular vein.
As the blood gurgles into the wound I quickly put my finger over it with a gauze pad between me and the large vein carrying most of the blood from the head. I pause for a moment. What do I do now? I'm definitely in uncharted territory. I calmly ask Johnny to put on some sterile gloves and hold pressure on the wound. As he holds the man's lifeblood from escaping under his finger I continue to methodically and painstakingly dissect the rest of the mass off the mandible, the voice box, the trachea and the carotid artery and other deep muscular neck structures. An hour later, the mass is out.
Johnny's fingers are paralyzed in position and totally numb. I ask him to gently take off pressure. Blood surges into the surgical field. He quickly presses back down.
It's then I remember my old friend, Erling Oksenholt pulling me into his office in Oregon in May and showing me a short video. In the video, a gloved hand is poised over a pig's groin. A sharp scalpel suddenly lunges down slicing through the porker's femoral artery. As blood spews from the wound the gloved hand quickly piles on gauze and holds down fiercely. Then, just as quickly, the gauze is withdrawn and a white powder is poured into the wound and the gauze and pressure is quickly reapplied. A note on the bottom of the screen says "five minutes later" as the scene shifts slightly. The gloved hand releases pressure and gently pulls up the gauze. There is no bleeding.
I also remember that Erling gave me some packets of this miracle powder (Celox) that I had left with my cousin John to bring with him when he came three days ago.
I yell to Brian to run over and check the bags that he and John brought and see if he couldn't find any. Meanwhile, John and I continue to wait and hold pressure. Brian comes back at first to say he didn't find any. Jenny and Chelsey go to help him look. Finally, Brian comes back with a small, white plastic bag with Celox in big red letters. Brian opens the sack and I say, "ready" and lift off the gauze as he quickly pours in the powder and I reapply pressure. Five minutes later I lift off the guaze and see white powder in the wound but no bleeding.
Johnny has been reading the instructions and says that now I should irrigate the powder out of the wound which I do. At the end I am trying to wipe out the last fragments and the blood gushes forth again. We repeat the process and the second time I'm a little gentler.
It holds and I close the muscles and skin, wrap his head and neck in a loose ace wrap and then send him off to ICU attached to a ventilator (whoops, dreaming again). Instead, I take out his endotracheal tube and send him out to the hot, sticky wards where his family will fan him with homemade woven fans and we'll hope he wakes up and his throat doesn't swell up too much so that he can't breathe.
Two days later he's complaining of a sore throat but sitting up, breathing normally and taking liquids. His neck has virtually no swelling at all.
James Appell, from a missionary facility in Africa.
"Celox worked brilliantly on a post-castration bleed.
Excision of exuberant granulation tissue and preparation of granulation bed for grafting - much better than using swabs and direct pressure alone.
A sinus surgery that bled profusely and required packing; with the removal of the packing the next day it bled again and we managed to inject Celox granules via the applicator into the portal where the packing had exited. Worked brilliantly!"
Chine House Veterinary Hospital, Leicestershire.
“…An 8 ½ lb tumour was removed from a male green sea turtle successfully in Honolulu, Hawaii. The surgery was a success with the use of Celox Granules. “I knew there would be a lot of bleeding from a previous removal of a five pound tumour on another turtle in the same area, tying off bleeders is difficult in this area because part of the bone is invaded. The granules worked a treat and the operation was made easier as there was little blood loss, a generous use of Celox Granules controlled the bleeding. Hawaiian sea turtles are a threatened species and are protected under federal law. After a day and a half out of the water the turtle was doing well with no re-bleed. The sea turtle was released post surgery into the ocean near Maui…”
Dr Robert Morris, DVM, MS marine biologist
"....I used Celox last weekend on a hunting dog and was very pleased with the results. One of the dogs was hit in the shoulder by a big wild boar which caused some major bleeding. The dog would have weighed about 28 kilo's and lost about 500mil of blood by the time we got to it. I used the 2gram sachet and poured the lot into the wound, applied pressure to a pad placed over the top for about 5 minutes and the bleeding stopped. Transported the dog back to our vehicle where we were able to clean around the wound using saline solution, I was surprised after squirting the saline solution into the wound that it didn't start to bleed.
I intend telling other hunters here to get some of this product for their dog first aid kits. I have since noticed the syringe type applicator on your web site and I think this would be a great way to administer Celox into tusk punctures. I believe this product will save the lives of dogs.”
Grant Boyle - Department Of Primary Industries, Australia
“…..Thought you might like to know about a gorilla at the Bronx Zoo. I learned today that the Bronx Zoo had an older gorilla with tooth problems and an abscess on what appeared to be his head. While the animal was under sedation for dental surgery, the vet team removed teeth, but while they treated an abscess in the head of the gorilla--they also learned the problem was connected to the animal's tooth problem. They expressed the abscess and packed the resulting wound with CELOX and a gauze tamponade. When sedation wore off, the gorilla quickly removed the gauze tampon, but the CELOX was highly successful as a hemostatic and as a packing agent….”