title: Management of traumatic haemorrhage--the US perspective.
abstract: As compared with European practice, the American approach to resuscitation from traumatic haemorrhage de-emphasises pre-hospital interventions in favour of rapid transport to definitive care; limits initial surgical interventions under the damage control model; uses crystalloid as the initial fluid of choice; and follows an empiric 1:1:1 approach to transfusion with red cells, plasma and platelets in hemodynamically unstable and actively bleeding patients. The use of bedside visco-elastic testing to guide coagulation support is not as widespread as in Europe, while the early administration of tranexamic acid is more selective.
authors.affiliation: Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Dutton
mesh_terms: D001803:Blood Transfusion; D006470:Hemorrhage / Q000628:therapy*; D006801:Humans; D012151:Resuscitation; D014481:United States; D014947:Wounds and Injuries / Q000150:complications*