FW: Coagulopathic trauma patient

• Previous message: Trauma Coagulopathy - what values?
• Next message: Trauma Coagulopathy - whatvalues?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

 

-----Oorspronkelijk bericht-----
Van: E.J. Pasman [mailto:e.j.pasman at amc.uva.nl] 
Verzonden: woensdag 15 april 2009 10:24
Aan: traumalist at trauma.org
Onderwerp: Coagulopathic trauma patient

Dear Cat,

In the Netherlands we have the following opinion:( I am NOT payed by this company in any way, just exited about this new tecnique).
During acute bleeding, a multitude of different therapeutic options are at disposition to the physician. The difficulty is to choose the right medication at the right time and to evaluate how much, respectively how often, the respective therapeutic option has to be applied. Typically, only the right therapy will stop the bleeding.Although this sounds self-evident, in the clinical everyday routine, a "blind" therapy is often applied. Therefore we use more and more the ROTEM-system= enhanced thrombelastography, invented by the Germans and we find it a very good machine (like BMW & Mercedes....). The procedure is complete within 10 = TEN !! minutes instead of the 45 minutes with the old TEG. Therapeutical options for bleeding:
DDAVP
Antifibrinolytics
Protamin (after heparin exposition)
Local/surgical procedures
Bloodproducts
	Thrombocytes
	FFP
	Fibrinogen
	PCC
	FVIII/FIX/FXIII
Recombinant factors
	rVIIa
	FVIII/FIX

When you want to see more of this new technique just visit www.rotem.de and you will find all the anwers you are looking for (pages are in English). When you just look at the lab-parameters you discribed you will only look at a very narrow spectrum of the coagulopathic pathways....you will miss a lot....

Greetings from Amsterdam,

Edward J. Pasman, MD + chair trauma-anesthesiology, Academic Medical Center (AMC), University of Amsterdam Department of anesthesiology, area of Attention: Trauma-Anesthesiology P.O.Box 22700, 1100 DE Amsterdam, The Netherlands.
Room: H1-150
Tel: +31-20-5663633    Fax:+31-20-56679441  pager: 64034
E-mail: e.j.pasman at amc.uva.nl

• Previous message: Trauma Coagulopathy - what values?
• Next message: Trauma Coagulopathy - whatvalues?
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]