关于创伤引起的大出血和凝血病的管理的欧洲指南总结了创伤凝血病管理的最相关建议。创伤引起的大出血的管理应跨学科遵循区分危及生命和非危及生命的出血的算法。护理点粘弹性方法(VEM)辅助目标控制的止血治疗。常规凝血测定法和VEM均不应延迟危及生命的创伤引起的出血的治疗。因地制宜,调整可能是合理的,包括血液制品的供应,制药,和员工。
The European guideline on the management of trauma-induced major bleeding and coagulopathy summarises the most relevant recommendations for trauma coagulopathy management. The management of trauma-induced major bleeding should interdisciplinary follow algorithms which distinguish between life-threatening and non-life-threatening bleeding. Point-of-care viscoelastic methods (VEM) assist target-controlled haemostatic treatment. Neither conventional coagulation assays nor VEM should delay treatment in life-threatening trauma-induced bleeding. Adjustments may be rational due to local circumstances, including the availability of blood products, pharmaceuticals, and employees.