Coagulopathy management of multiple injured patients - a comprehensive literature review of the European guideline 2019

EFORT Open Rev. 2022 Oct 26;7(10):710-726. doi: 10.1530/EOR-22-0054.

Abstract

The European guideline on the management of trauma-induced major bleeding and coagulopathy summarises the most relevant recommendations for trauma coagulopathy management. The management of trauma-induced major bleeding should interdisciplinary follow algorithms which distinguish between life-threatening and non-life-threatening bleeding. Point-of-care viscoelastic methods (VEM) assist target-controlled haemostatic treatment. Neither conventional coagulation assays nor VEM should delay treatment in life-threatening trauma-induced bleeding. Adjustments may be rational due to local circumstances, including the availability of blood products, pharmaceuticals, and employees.

Keywords: coagulation management; coagulopathy; multiple injury.

Publication types

  • Review