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

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    Author
    Robinson, Simon
    Kirton, Jordan cc
    Keyword
    Emergency Medical Services
    Resuscitation
    Pre-hospital Care
    Trauma
    Blood Coagulation Disorders
    Journal title
    British Paramedic Journal
    
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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.
    ae974a485f413a2113503eed53cd6c53
    10.29045/14784726.2020.09.5.3.23
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