The European guideline on management of major bleeding and coagulopathy following trauma : sixth edition
Rossaint, Rolf (Aachen University)
Afshari, Arash (University of Copenhagen)
Bouillon, Bertil (University of Witten/Herdecke)
Cerny, Vladimir (Charles University Faculty of Medicine)
Cimpoesu, Diana (University of Medicine and Pharmacy "Grigore T. Popa" Iasi)
Curry, Nicola (Oxford University)
Duranteau, Jacques (Paris Saclay University)
Filipescu, Daniela (Carol Davila University of Medicine and Pharmacy)
Grottke, Oliver (University Hospital Aachen (Alemanya))
Grønlykke, Lars (University of Copenhagen)
Harrois, Anatole (Paris Saclay University)
Hunt, Beverley J. (Guy's and St Thomas' NHS Foundation Trust)
Kaserer, Alexander (University Hospital Zurich (Suïssa))
Komadina, Radko (Ljubljana University)
Madsen, Mikkel Herold (University of Copenhagen)
Maegele, Marc (University of Witten/Herdecke.)
Mora, Lidia (Hospital Universitari Vall d'Hebron. Institut de Recerca)
Riddez, Louis (Karolinska University Hospital and Karolinska Institutet (Suècia))
Romero, Carolina S. (UConsorcio Hospital General Universitario de Valencia)
Samama, Charles-Marc (Université Paris Cité)
Vincent, Jean-Louis (Université Libre de Bruxelles)
Wiberg, Sebastian (University of Copenhagen)
Spahn, Donat R. (University Hospital Zurich (Suïssa))
Universitat Autònoma de Barcelona

Data:	2023
Resum:	Severe trauma represents a major global public health burden and the management of post-traumatic bleeding continues to challenge healthcare systems around the world. Post-traumatic bleeding and associated traumatic coagulopathy remain leading causes of potentially preventable multiorgan failure and death if not diagnosed and managed in an appropriate and timely manner. This sixth edition of the European guideline on the management of major bleeding and coagulopathy following traumatic injury aims to advise clinicians who care for the bleeding trauma patient during the initial diagnostic and therapeutic phases of patient management. The pan-European, multidisciplinary Task Force for Advanced Bleeding Care in Trauma included representatives from six European professional societies and convened to assess and update the previous version of this guideline using a structured, evidence-based consensus approach. Structured literature searches covered the period since the last edition of the guideline, but considered evidence cited previously. The format of this edition has been adjusted to reflect the trend towards concise guideline documents that cite only the highest-quality studies and most relevant literature rather than attempting to provide a comprehensive literature review to accompany each recommendation. This guideline comprises 39 clinical practice recommendations that follow an approximate temporal path for management of the bleeding trauma patient, with recommendations grouped behind key decision points. While approximately one-third of patients who have experienced severe trauma arrive in hospital in a coagulopathic state, a systematic diagnostic and therapeutic approach has been shown to reduce the number of preventable deaths attributable to traumatic injury. A multidisciplinary approach and adherence to evidence-based guidelines are pillars of best practice in the management of severely injured trauma patients. Further improvement in outcomes will be achieved by optimising and standardising trauma care in line with the available evidence across Europe and beyond. The online version contains supplementary material available at 10. 1186/s13054-023-04327-7. The online version contains supplementary material available at 10. 1186/s13054-023-04327-7.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Emergency medicine ; Trauma ; Traumatic coagulopathy ; Major bleeding ; Haemostasis ; Practice guideline ; Diagnostics ; Management
Publicat a:	Critical Care, Vol. 27 (march 2023) , ISSN 1466-609X

DOI: 10.1186/s13054-023-04327-7
PMID: 36859355

45 p, 4.6 MB

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