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Tools to predict acute traumatic coagulopathy in the pre-hospital setting: a review of the literature

Robinson, Simon
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Keyword
Emergency Medical Services
 Resuscitation
 Pre-hospital Care
 Trauma
 Blood Coagulation Disorders
Journal Title
British Paramedic Journal
Book Title
Publication Volume
Publication Issue
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Publication End Page
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Collections
Publications - London Ambulance Service
Publications - South Western Ambulance Service
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URI
http://hdl.handle.net/20.500.12417/1042
DOI
10.29045/14784726.2020.09.5.3.23
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. Abstract published with permission.
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