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Traumatic Coagulopathy - what values?

Karim Brohi karim at trauma.org
Thu Apr 16 22:45:27 BST 2009 

Cat
I think 1.5x normal is OK.  Properly you should be using PT rather
than INR (which is for oral anticoagulant monitoring I'm told).
BUT I would also look at just those patients with a prolonged PT &
aPTT (above your normal ranges).  These patients also do not do as
well as those who meet the traditional haematology view of what's a
clinically treatable coagulopathy.
We're looking at diagnosing ATC with a CA5 less than 37mm at 5 minutes
on admission blood draw - (preliminary data only).
Karim

2009/4/16 Heim Schoettker Katharina <Catherine.Heim at chuv.ch>:
> Thank you folks for your suggestions
>
> As Karim said, I was asking for the TIC/ATC-compatible values rather from the research point of view. To compare our data to those papers who talk about 20-30% early traumatic coagulopathy at hospital arrival and to set up a protocol for early Rotem/TEG-use in shock room.
>
> So  probably I stick to the so far suggested values of :
> 1.5 times normal INR and aPTT
> Platelets < 100 x10 9 L
> Fibrinogen <1 g/l
>
> Any concerns about this?
>
> Cat
>
> Catherine Heim, MD
> Service d'Anesthésie
> CHUV-BH 05
> Rue du Bugnon
> CH-1011 Lausanne, Switzerland
> Tel: +4121 3142109
>
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