The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre

CJEM
Sarah MortonAnthony Hudson

Abstract

Trauma induced coagulopathy is a disorder of the coagulation pathway that occurs following major trauma. "Code red trauma" require massive hemorrhage protocol activation. The aim was to qualitatively establish the reasons TEG is not currently utilized and the ongoing practicalities in performing a TEG sample for trauma-related massive hemorrhage. A pilot study was performed using a TEG6s machine within one central London Major Trauma Centre's resuscitation department. Staff were asked to run a TEG sample on any "code red" patient who attended during the trial. Staff were given questionnaires both before and after the trial to assess the knowledge around TEG. A TEG sample was performed in 75% of the sixteen "code red traumas," with one sample being unsuccessful. Only one patient had their blood component management altered due to the TEG result with only 50% of consultants and registrars surveyed feeling confident in interpreting TEG results. TEG6s samples can be run within the resuscitation department in a "code red trauma." However, there is a significant lack of knowledge relating to TEG within the emergency department which is likely to hinder its impact on personalized blood component management. More research is required i...Continue Reading

References

Jun 19, 2003·The Journal of Trauma·Karim BrohiTimothy Coats
Jun 30, 2010·Emergency Medicine Journal : EMJ·Victor JegerAristomenis K Exadaktylos
Oct 1, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Kristin B NystrupPär I Johansson
Jan 29, 2013·The Journal of Trauma and Acute Care Surgery·Nicole M TapiaJames Suliburk
Apr 17, 2013·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Luis Teodoro da LuzSandro Rizoli

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Citations

Nov 19, 2019·The Journal of Trauma and Acute Care Surgery·Matthew D NealHardean E Achneck
Oct 23, 2020·Transfusion·Andrew C SayceChristine M Leeper

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