Uncontrolled hemorrhage requiring emergent surgery after major trauma continues to be a contributor to perioperative death (Intensive Care Med 2019;45:709-11). While most hemorrhage deaths occur before injured patients reach the hospital, advancement in medical management has improved survival for those who make it to our ORs. Often, the resuscitation of these patients is complicated by an acquired coagulopathy that requires a “hemostatic resuscitation,” which is the restoration of tissue perfusion with components that improve clot effectiveness (Br J Anaesth 2012;109:i39-i46). The concept of fixed ratio transfusions (such as 1:1:1; 1 U of packed red blood cells: 1 U fresh frozen plasma: 1 donor's worth of platelets) was developed following the recognition that some seriously injured patients benefit when hemostatic resuscitation was started immediately and continued aggressively. Due to the inability to assess for specific coagulation defects in a timely fashion during resuscitation of the patient in...
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March 2022
Viscoelastic Hemostatic Assays and Trauma: Are You Ready?
Thomas E. Grissom, MD, MSIS, FASA, FCCM;
Thomas E. Grissom, MD, MSIS, FASA, FCCM
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Kevin P. Blaine, MD, MPH, FASA
Kevin P. Blaine, MD, MPH, FASA
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ASA Monitor March 2022, Vol. 86, 29–30.
Citation
Thomas E. Grissom, Kevin P. Blaine; Viscoelastic Hemostatic Assays and Trauma: Are You Ready?. ASA Monitor 2022; 86:29–30 doi: https://doi.org/10.1097/01.ASM.0000823088.90786.7b
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