title: [Diagnosis and treatment of trauma-induced coagulopathy].
abstract: Trauma-induced coagulopathy is frequent and complex, and is responsible for an impairment of trauma outcome. Diagnosis of trauma coagulopathy is usually done with standard biology but recently new technics arose and gave us the opportunity to have faster information on coagulopathy with quick INR measure or clot formation study with thrombelastometry. Treatment of the coagulopathy should be done earlier in the course of trauma. Two strategies are possible that include either the association of RBC, platelet and FFP in a predefined ratio, or the use of factor concentrates guided with thrombelastometry. Treatment of favouring factors such as hypothermia, acidosis and hypocalcemia is also mandatory.
authors.affiliation: Service d'anesthésie-réanimation, centre hospitalier Lyon Sud, hospices civils de Lyon, chemin du Grand-Revoyet, 69495 Pierre-Bénite cedex, France. jean-stephane.david@chu-lyon.fr
authors.forename: J-S
authors.initials: JS
authors.lastname: David
authors.forename: A
authors.initials: A
authors.lastname: Roumagnac
authors.forename: É
authors.initials: É
authors.lastname: Rulliat
authors.forename: C
authors.initials: C
authors.lastname: Bernet
authors.forename: L
authors.initials: L
authors.lastname: Rugeri
authors.forename: G
authors.initials: G
authors.lastname: Marcotte
authors.forename: A
authors.initials: A
authors.lastname: Levrat
mesh_terms: D001778:Blood Coagulation Disorders / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D001803:Blood Transfusion; D006801:Humans; D014947:Wounds and Injuries / Q000150:complications*