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

Authors: Niemann, M; Otto, E; Eder, C; Youssef, Y; Kaufner, L; Mardian, S

Affiliations: Charite Univ Med Berlin, Ctr Musculoskeletal Surg, Berlin, Germany. Free Univ Berlin, Berlin, Germany. Humboldt Univ, Berlin, Germany. Berlin Inst Hlth, Berlin, Germany. Charite Univ Med Berlin, Berlin Inst Hlth, Julius Wolff Inst Biomech & Musculoskeletal Regen, Berlin, Germany. Univ Hosp Leipzig, Dept Orthopaed Trauma Surg & Plast Surg, Leipzig, Germany. Charite Univ Med Berlin, Dept Anesthesiol & Intens Care Med, Berlin, Germany. Efort

Publication: Open Reviews; 2022; 7. 710–726

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.