RT Journal Article
SR Electronic
T1 Is thromboelastography (TEG)-based resuscitation better than empirical 1:1 transfusion?
JF Trauma Surgery & Acute Care Open
FD BMJ Publishing Group Ltd
SP e000140
DO 10.1136/tsaco-2017-000140
VO 3
IS 1
A1 Isaac W Howley
A1 Elliott R Haut
A1 Lenwoth Jacobs
A1 Jonathan J Morrison
A1 Thomas M Scalea
YR 2018
UL http://tsaco.bmj.com/content/3/1/e000140.abstract
AB 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.