RT Journal Article
T1 Management of bleeding following major trauma: an updated European guideline.
A1 Rossaint, Rolf
A1 Bouillon, Bertil
A1 Cerny, Vladimir
A1 Coats, Timothy J
A1 Duranteau, Jacques
A1 Fernández-Mondéjar, Enrique
A1 Hunt, Beverley J
A1 Komadina, Radko
A1 Nardi, Giuseppe
A1 Neugebauer, Edmund
A1 Ozier, Yves
A1 Riddez, Louis
A1 Schultz, Arthur
A1 Stahel, Philip F
A1 Vincent, Jean-Louis
A1 Spahn, Donat R
K1 Europa (Continente)
K1 Medicina basada en la evidencia
K1 Fluidoterapia
K1 Técnicas hemostáticas
K1 Choque hemorrágico
K1 Índices de gravedad del trauma
K1 Tratamiento de urgencia
AB INTRODUCTIONEvidence-based recommendations are needed to guide the acute management of the bleeding trauma patient, which when implemented may improve patient outcomes.METHODSThe multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005 with the aim of developing a guideline for the management of bleeding following severe injury. This document presents an updated version of the guideline published by the group in 2007. Recommendations were formulated using a nominal group process, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) hierarchy of evidence and based on a systematic review of published literature.RESULTSKey changes encompassed in this version of the guideline include new recommendations on coagulation support and monitoring and the appropriate use of local haemostatic measures, tourniquets, calcium and desmopressin in the bleeding trauma patient. The remaining recommendations have been reevaluated and graded based on literature published since the last edition of the guideline. Consideration was also given to changes in clinical practice that have taken place during this time period as a result of both new evidence and changes in the general availability of relevant agents and technologies.CONCLUSIONSThis guideline provides an evidence-based multidisciplinary approach to the management of critically injured bleeding trauma patients.
PB BioMed Central
YR 2010
FD 2010-04-06
LK http://hdl.handle.net/10668/2118
UL http://hdl.handle.net/10668/2118
LA en
NO Rossaint R, Bouillon B, Cerny V, Coats TJ, Duranteau J, Fernández-Mondéjar E, et al. Management of bleeding following major trauma: an updated European guideline. Crit Care. 2010; 14(2):R52
NO Journal Article; Practice Guideline; Research Support, Non-U.S. Gov't;
DS RISalud
RD Apr 5, 2025