Posted on 27 Apr 2026

What Makes Z-Fold Hemostatic Gauze Effective in Combat Care?

What Makes Z-Fold Hemostatic Gauze Effective in Combat Care?

When combat medics, tactical teams, and emergency responders face life-threatening battlefield situations, they must act fast to treat injuries from gunshots, blasts, and deep cuts. At Axiostat Military, we engineer products that enable first responders to operate effectively in demanding environments. Our z-fold hemostatic gauze is designed for those administering care amid chaotic, unpredictable circumstances and under extreme time pressure.

What makes our Z-Fold (MIL300) effective?

The Z-Fold is a new form of hemostatic dressing made from chitosan technology, promoting speed in forming a clot. This can result in large improvements over past methods used to stop or slow bleeding in less than one minute; however, in certain cases it has shown the ability to stop or slow bleeding in seconds. The z-fold design also allows medics to pack the wound quickly so they can focus on other pressing needs when time is critical.

Another key feature of the gauze is that it is powered by protonated bioadhesive technology (PBT)®. The action of PBT creates a very strong seal over the wound and binds itself with blood cells in order to support a very rapid hemostasis.

Designed for Real Battlefield Conditions

We understand that battlefield environments are not controlled or predictable. That is why our Z-fold hemostatic gauze is designed to be

Compact and easy to carry

Lightweight for standard loadouts

Vacuum-sealed in camouflage packaging

Reliable in harsh and austere conditions

It is also active on all sides, which helps reduce the risk of rebleeding and contamination. This gives medics more confidence during treatment.

Features That Support Fast Response

Our product is built to support quick and effective bleeding control. Some of its key features include:

Controls massive bleeding and achieves haemostasis within minutes

Soft and flexible gauze, suitable for deep wound applications

Easy to apply and remove without leaving debris

Effective for gunshot, stab, blast wounds, and deep injuries

Provides a protective barrier against bacteria

Long shelf life of up to 5 years

Non-leachable material with no powder or granules

Demonstrated 100% survival rate in pre-clinical studies

Effective even in hypothermic bleeding conditions

Suitable for both civilian and military trauma care in pre-hospital settings

These features make the z-fold hemostatic gauze suitable for both battlefield and pre-hospital emergency care.

Where Can It Be Used?

Our Z-Fold is a multi-purpose wound dressing that can be used by combat medics, tactical team members, and first responders for the treatment of various types of wounds.

These use cases include:

- Gunshot wounds and deep wounds

- Blast wounds from landmines and IEDs

- Trauma to the head or neck

- Cuts and lacerations

- Bleeding from the lower extremities

Our Z-fold is also able to assist with junctional hemorrhage, which is when bleeding occurs from areas that have traditionally been difficult to control bleeding from using standard methods.

When It Can Be Used

During active combat or battlefield operations

In tactical and special forces missions

At the point of injury, before advanced care is available

During the critical “golden hour” after trauma

In pre-hospital emergencies and evacuation scenarios

In disaster response and high-risk rescue operations

The Golden Hour

The Golden Hour refers to an hour after a severe injury and is critical in relation to the likelihood of surviving the injury. If bleeding control can be achieved before this hour, the chance of survival will increase. Our hemostatic gauze in the Z-fold format is specifically designed to be used for providing life-saving care during the Golden Hour. It allows the medic to quickly stop the bleeding and stabilize the patient until they arrive at an advanced level of care.

Conclusion

In a high-risk environment, time is critical for controlling bleeding. Our Z-Fold will provide the speed, simplicity, and reliability of the advanced technology and design required to meet this demand. The Z-Fold design of the Axiostat Z-Fold hemostatic gauze will assist medical personnel in providing a quick and effective response to controlling excessive bleeding and ultimately enhances the chances for a successful outcome during critical situations where every second counts.

FAQ

1. What is Z-Fold hemostatic gauze?

Z-Fold hemostatic gauze is used to control severe bleeding, especially from deep wounds, such as gunshot or blast injuries.

2. How does the Axiostat Z-Fold work?

The Z-Fold hemostatic gauze works using chitosan technology to help form a clot quickly and create a seal over the wound.

3. Is the Axiostat Z-Fold easy to use in an emergency?

Yes. The Z-Fold design allows for quick packing of a wound and easy application of pressure.

4. Is the Axiostat Z-Fold usable in anything other than on the battlefield?

Yes. It is also suitable for use in emergency medical services and out-of-hospital care settings.

Axiostat A collaborative study with Harvard
Medical School
Pivotal study on haemostats & their mechanism of action in controlling massive bleeding
Axiostat
Axiostat Gauze is now
USFDA Cleared, 510(k) K222909