Emergency medicine Australasia : EMA
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Emerg Med Australas · Jun 2018
Major haemorrhage fatalities in the Australian national coronial database.
The aim of the study is to describe the epidemiology of major bleeding fatalities. ⋯ Major bleeding fatalities occurred across a diverse range of contexts, with trauma and gastrointestinal bleeding accounting for most deaths. The majority of patients did not survive to reach hospital. Major haemorrhage occurring entirely outside hospital may be underrecognised from analyses of datasets based primarily on traumatic or in-hospital bleeding. These findings have implications for management of pre-hospital resuscitation and development of clinical practice guidelines for identification and management of major bleeding in the community.