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- R P Dutton.
- Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois, USA.
- Anaesthesia. 2015 Jan 1;70 Suppl 1:108-11, e38.
AbstractAs compared with European practice, the American approach to resuscitation from traumatic haemorrhage de-emphasises pre-hospital interventions in favour of rapid transport to definitive care; limits initial surgical interventions under the damage control model; uses crystalloid as the initial fluid of choice; and follows an empiric 1:1:1 approach to transfusion with red cells, plasma and platelets in hemodynamically unstable and actively bleeding patients. The use of bedside visco-elastic testing to guide coagulation support is not as widespread as in Europe, while the early administration of tranexamic acid is more selective.© 2014 The Association of Anaesthetists of Great Britain and Ireland.
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