• Crit Care · Jan 2011

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    Resuscitation of the trauma patient: tell me a trigger for early haemostatic resuscitation please!

    • Matthew J Reed, Nazir Lone, and Timothy S Walsh.
    • Emergency Department, Royal Infirmary of Edinburgh, 51 Little France Crescent, Edinburgh EH16 4SA, UK.
    • Crit Care. 2011 Jan 1;15(2):126.

    AbstractThe management of trauma-related coagulopathy and haemorrhage is changing from a reactive strategy to a proactive early intervention with blood products and haemostatic agents. Although major haemorrhage and massive transfusion are associated with higher mortality, the pattern of this association with modern trauma care is poorly described. In addition, early predictors of massive transfusion, which might trigger a proactive haemostatic resuscitation strategy, are not currently available. We review recent literature relating to predictors of massive transfusions and the relationship between transfusion and mortality.

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