@article {Howleye000140, author = {Isaac W Howley and Elliott R Haut and Lenwoth Jacobs and Jonathan J Morrison and Thomas M Scalea}, title = {Is thromboelastography (TEG)-based resuscitation better than empirical 1:1 transfusion?}, volume = {3}, number = {1}, elocation-id = {e000140}, year = {2018}, doi = {10.1136/tsaco-2017-000140}, publisher = {BMJ Specialist Journals}, abstract = {Thomboelastography (TEG) is a whole blood measure of coagulation which was originally described in the 1950s. However, it has only been in the last few decades that assays have become accessible and viable as a point-of-care test. Following the observation that hemorrhagic shock is associated with an intrinsic coagulopathy, TEG has been used as a method of diagnosing specific coagulation defects in order to direct individualized blood products resuscitation. An alternative transfusion strategy is the administration of fixed ratio products, a paradigm borne out of military experience. It is unknown which strategy is superior and this topic was debated at the 36th Annual Point/Counterpoint Acute Care Surgery Conference. The following article summarizes the discussants points of view along with a summary of the evidence.Level of evidence Level III.}, URL = {https://tsaco.bmj.com/content/3/1/e000140}, eprint = {https://tsaco.bmj.com/content/3/1/e000140.full.pdf}, journal = {Trauma Surgery \& Acute Care Open} }