Title |
Early and individualized goal-directed therapy for trauma-induced coagulopathy
|
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Published in |
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, February 2012
|
DOI | 10.1186/1757-7241-20-15 |
Pubmed ID | |
Authors |
Herbert Schöchl, Marc Maegele, Cristina Solomon, Klaus Görlinger, Wolfgang Voelckel |
Abstract |
Severe trauma-related bleeding is associated with high mortality. Standard coagulation tests provide limited information on the underlying coagulation disorder. Whole-blood viscoelastic tests such as rotational thromboelastometry or thrombelastography offer a more comprehensive insight into the coagulation process in trauma. The results are available within minutes and they provide information about the initiation of coagulation, the speed of clot formation, and the quality and stability of the clot. Viscoelastic tests have the potential to guide coagulation therapy according to the actual needs of each patient, reducing the risks of over- or under-transfusion. The concept of early, individualized and goal-directed therapy is explored in this review and the AUVA Trauma Hospital algorithm for managing trauma-induced coagulopathy is presented. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 25% |
Australia | 2 | 17% |
Canada | 1 | 8% |
Poland | 1 | 8% |
Germany | 1 | 8% |
Costa Rica | 1 | 8% |
United States | 1 | 8% |
Unknown | 2 | 17% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 5 | 42% |
Practitioners (doctors, other healthcare professionals) | 4 | 33% |
Scientists | 3 | 25% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 2 | 1% |
Portugal | 1 | <1% |
Germany | 1 | <1% |
France | 1 | <1% |
Brazil | 1 | <1% |
Czechia | 1 | <1% |
Switzerland | 1 | <1% |
Mexico | 1 | <1% |
United Kingdom | 1 | <1% |
Other | 2 | 1% |
Unknown | 162 | 93% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 27 | 16% |
Other | 24 | 14% |
Student > Master | 23 | 13% |
Student > Ph. D. Student | 20 | 11% |
Student > Postgraduate | 18 | 10% |
Other | 44 | 25% |
Unknown | 18 | 10% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 128 | 74% |
Agricultural and Biological Sciences | 7 | 4% |
Engineering | 4 | 2% |
Physics and Astronomy | 3 | 2% |
Nursing and Health Professions | 2 | 1% |
Other | 8 | 5% |
Unknown | 22 | 13% |