Introduction to the European Guideline on Management of Major Bleeding and Coagulopathy Following Trauma (sixth edition)
10.13303/j.cjbt.issn.1004549x.2024.03.017
- VernacularTitle:《欧洲创伤性严重出血和凝血病管理指南(第6版)》解读
- Author:
Ming GAO
1
;
Hu ZHOU
1
;
Mao GUO
1
;
Zhaohui TANG
2
;
Qing WEI
1
,
3
;
Yongjian GUO
4
,
5
Author Information
1. Department of Transfusion, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
2. Department of Trauma Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
3. Sub-Committee of Blood Standards, National Committee of Health Standards
4. Sub-Committee of Blood Standards, National Committee of Health Standards
5. Fujian Provincial Blood Center
- Publication Type:Journal Article
- Keywords:
major bleeding;
coagulopathy;
trauma;
guideline;
European
- From:
Chinese Journal of Blood Transfusion
2024;37(3):357-368
- CountryChina
- Language:Chinese
-
Abstract:
In the European Guideline on Management of Major Bleeding and Coagulopathy Following Trauma updated recently, there are 39 clinical practice recommendations that follow an approximate temporal path for management of the bleeding trauma patient, with recommendations grouped behind key decision points, including initial resuscitation and prevention of further bleeding, diagnosis and monitoring of bleeding, rapid control of bleeding, initial management of bleeding and coagulopathy, further goal-directed coagulation management, management of antithrombotic agents, thromboprophylaxis, guideline implementation and quality control, as welll as the management of tissue oxygenation, volume, fluids and temperature. In this paper, we introduce the recommendations and rationale of the guideline and add some newly published clinical study evidence. These information would be very helpful to the development and training of the guidelines or protocols for the management of the trauma patient with major haemorrhage and coagulopathy in China.
