Table of contents
Traumatic hemorrhage
What's new
The Eastern Association for the Surgery of Trauma (EAST) has released a new guideline on the use of resuscitative endovascular balloon occlusion of the aorta (REBOA) in surgical and trauma patients, suggesting its use in trauma patients with cardiac arrest due to suspected subdiaphragmatic bleeding and in hemodynamically stable patients with anticipated subdiaphragmatic bleeding from placenta accreta syndrome. .
Guidelines
Key sources
Diagnostic investigations
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Laboratory testing
Coagulation and viscoelastic testing
Diagnostic imaging
Respiratory support
Medical management
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Setting of care
Prehospital bleeding control
Prehospital transfusion
Local hemostatic measures
Mean arterial pressure targets
Fluid resuscitation
Vasopressors and inotropes
Recombinant factor VIIa
Tranexamic acid
Other agents
Temperature control
Management of hypocalcemia
Management of antithrombotics (VKAs)
Management of antithrombotics (factor Xa inhibitors)
Management of antithrombotics (antiplatelets)
Management of antithrombotics (thrombin inhibitors)
Thromboprophylaxis
Inpatient care
Therapeutic procedures
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Plasma transfusion
Coagulation factor transfusion
Coagulation factor transfusion (BSCH)
Platelet transfusion
Cell salvage
REBOA
Surgical interventions
Specific circumstances
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Pediatric patients (local hemostatic measures)
Pediatric patients (transfusion strategies)
Pediatric patients (hemostatic agents)
Pediatric patients (monitoring)
Patients with pelvic trauma (diagnostic imaging)
Patients with pelvic trauma (pelvic binders and orthotic devices)
Patients with pelvic trauma (pelvic ring stabilization)
Patients with pelvic trauma (angioembolization)
Patients with pelvic trauma (retroperitoneal packing)
Patients with pelvic trauma (REBOA)
Patients with pelvic trauma (surgical bleeding control)