Transcription of THROMBOELASTOGRAPHY (TEG) IN TRAUMA
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THROMBOELASTOGRAPHY (TEG) IN TRAUMA
DISCLAIMER: These guidelines were prepared by the Department of Surgical Education, Orlando Regional Medical Center. They are intended to serve as a general statement regarding appropriate patient care practices based upon the available medical literature and clinical expertise at the time of development. They should not be considered to be accepted protocol or policy, nor are intended to replace clinical judgment or dictate care of individual patients . THROMBOELASTOGRAPHY (TEG) IN TRAUMA . SUMMARY. THROMBOELASTOGRAPHY (TEG) is a test of whole blood coagulation that was developed in the 1950's, but was largely passed over in favor of conventional coagulation tests (PT, PTT, platelet count).
of 1,008 patients arriving to a Level 1 trauma center, 25% arrived coagulopathic (7). Cotton (2008) found that among 211 patients requiring massive transfusion protocol, 75% had demonstrated coagulopathy upon admission (8). The exact mechanism of this coagulopathy is unclear, but appears to be at least
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