Bad blood: A coagulopathy associated with trauma and massive transfusion review

Coagulopathy in trauma patients is a known contributor to death due to hemorrhage. In fact, it seen as frequently as 35% of the time. The complexity of the coagulopathy pathway requires a deliberate and planned approach. The methods used to assess and detect if a patient is coagulopathic remain chal...

Szczegółowa specyfikacja

Opis bibliograficzny
Główni autorzy: Tawnya Vernon, Madison Morgan, Chet Morrison
Format: Artykuł
Język:English
Wydane: Wiley 2019-07-01
Seria:Acute Medicine & Surgery
Hasła przedmiotowe:
Dostęp online:https://doi.org/10.1002/ams2.402
Opis
Streszczenie:Coagulopathy in trauma patients is a known contributor to death due to hemorrhage. In fact, it seen as frequently as 35% of the time. The complexity of the coagulopathy pathway requires a deliberate and planned approach. The methods used to assess and detect if a patient is coagulopathic remain challenging, but tools have been developed to assist the practitioner to effectively manage and even quickly reverse the coagulopathy. The purpose of this review is to educate trauma and emergency medicine staff on the currently available diagnostic tools to assess coagulopathy, to provide an overview of the coagulopathy pathway, as well as provide examples of how to intervene and treat coagulopathy, including the use of crew resource management during mass transfusion protocol activations.
ISSN:2052-8817