Thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma induced coagulopathy in adult trauma patients with bleeding.

@article{Hunt2015ThromboelastographyA,
  title={Thromboelastography (TEG) and rotational thromboelastometry (ROTEM) for trauma induced coagulopathy in adult trauma patients with bleeding.},
  author={Harriet A Hunt and Simon J Stanworth and Nicola S Curry and Tom Woolley and Chris Cooper and Obioha C. Ukoumunne and Zhivko Zhelev and Chris Hyde},
  journal={The Cochrane database of systematic reviews},
  year={2015},
  volume={2},
  pages={
          CD010438
        }
}
BACKGROUND Trauma-induced coagulopathy (TIC) is a disorder of the blood clotting process that occurs soon after trauma injury. A diagnosis of TIC on admission is associated with increased mortality rates, increased burdens of transfusion, greater risks of complications and longer stays in critical care. Current diagnostic testing follows local hospital processes and normally involves conventional coagulation tests including prothrombin time ratio/international normalized ratio (PTr/INR… Expand
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A statistically significant effect of TEG or ROTEM was demonstrated compared to any comparison on the proportion of participants transfused with pooled red blood cells (PRBCs) and the risk ratio (RR) with 95% confidence intervals (CIs) was presented. Expand
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  • Medicine
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  • 2020
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TLDR
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TLDR
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TLDR
The bottom line is that thromboelastography requires further study before standard utilization for emergency and critical care departments. Expand
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Algorithms for ROTEM, TEG, and CCTs to be used in addition to ratio driven transfusion and tranexamic acid to support data-driven adjustments of resuscitation with therapeutics are developed. Expand
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TLDR
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