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Emergency Medicine International
Volume 2011, Article ID 895674, 4 pages
http://dx.doi.org/10.1155/2011/895674
Review Article

The Role of Thrombelastography in Multiple Trauma

Department of Emergency Medicine, University Hospital Inselspital, 3010 Bern, Switzerland

Received 22 May 2011; Accepted 7 July 2011

Academic Editor: Lee A. Wallis

Copyright © 2011 Victor Jeger et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hemorrhage and traumatic coagulopathyis are major causes of early death in multiply injured patients. Thrombelastography (TEG) seems to be a fast and accurate coagulation test in trauma care. We suggest that multiply injured trauma patients would benefit the most from an early assessment of coagulation by TEG, mainly RapidTEG, to detect an acute traumatic coagulopathy and especially primary fibrinolysis, which is related with high mortality. This review gives an overview on TEG and its clinical applications.