Robinson S, Kirton J. Tools to predict acute traumatic coagulopathy in the pre-hospital setting: a review of the literature.
Br Paramed J 2020;
5:23-30. [PMID:
33456394 PMCID:
PMC7783962 DOI:
10.29045/14784726.2020.09.5.3.23]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction:
Recognising acute traumatic coagulopathy (ATC) poses a significant challenge to improving survival in emergency care. Paramedics are in a prime position to identify ATC in pre-hospital major trauma and initiate appropriate coagulopathy management.
Method:
A database literature review was conducted using Scopus, CINAHL and MEDLINE.
Results:
Two themes were identified from four studies: prediction tools, and point-of-care testing. Prediction tools identified key common ATC markers in the pre-hospital setting, including: systolic blood pressure, reduced Glasgow Coma Score and trauma to the chest, abdomen and pelvis. Point-of-care testing was found to have limited value.
Conclusion:
Future research needs to explore paramedics using prediction tools in identifying ATC, which could alert hospitals to prepare for blood products for damage control resuscitation.
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