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The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre.

Morton, S; Galea, J; Uprichard, J; Hudson, A (2019) The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre. CJEM, 21 (3). pp. 361-364. ISSN 1481-8035 https://doi.org/10.1017/cem.2018.426
SGUL Authors: Uprichard, James

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Abstract

Objective Trauma induced coagulopathy is a disorder of the coagulation pathway that occurs following major trauma. “Code red trauma” require massive hemorrhage protocol activation. The aim was to qualitatively establish the reasons TEG is not currently utilized and the ongoing practicalities in performing a TEG sample for trauma-related massive hemorrhage. Methods A pilot study was performed using a TEG6s machine within one central London Major Trauma Centre’s resuscitation department. Staff were asked to run a TEG sample on any “code red” patient who attended during the trial. Staff were given questionnaires both before and after the trial to assess the knowledge around TEG. Results A TEG sample was performed in 75% of the sixteen “code red traumas,” with one sample being unsuccessful. Only one patient had their blood component management altered due to the TEG result with only 50% of consultants and registrars surveyed feeling confident in interpreting TEG results. Conclusion TEG6s samples can be run within the resuscitation department in a “code red trauma.” However, there is a significant lack of knowledge relating to TEG within the emergency department which is likely to hinder its impact on personalized blood component management. More research is required in how to provide appropriate education in a busy setting to enable TEG to be utilized appropriately.

Item Type: Article
Additional Information: This article has been published in a revised form in Canadian Journal of Emergency Medicine [http://doi.org/10.1017/cem.2018.426]. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. © Canadian Association of Emergency Physicians 2018
Keywords: TEG, coagulopathy, trauma, 1103 Clinical Sciences, Emergency & Critical Care Medicine
SGUL Research Institute / Research Centre: Academic Structure > Infection and Immunity Research Institute (INII)
Journal or Publication Title: CJEM
ISSN: 1481-8035
Language: eng
Dates:
DateEvent
May 2019Published
20 September 2018Published Online
2 July 2018Accepted
Publisher License: Publisher's own licence
PubMed ID: 30232951
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/110253
Publisher's version: https://doi.org/10.1017/cem.2018.426

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