e-ISSN: 3023-4050
Volume : 1 Issue : 3 Year : 2023

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Strategies for the Effective Management of Bleeding in Trauma Patients: A Narrative Review [Acad J Health]
Acad J Health. 2023; 1(1): 21-25 | DOI: 10.14744/ajh.2023.40085

Strategies for the Effective Management of Bleeding in Trauma Patients: A Narrative Review

Seyda Gedikaslan, Afsin Emre Kayipmaz
Department of Emergency Medicine, Ankara Etlik City Hospital, Ankara, Türkiye

Injuries are the leading cause of death worldwide among individuals aged 1-46. Effective management strategies like preventing dilutional coagulopathy, enhancing clotting, and early bleeding cessation can reduce trauma-related mortality. A restrictive transfusion strategy is advised for trauma patients, aiming to maintain hemoglobin levels between 7-9 g/dL. Administering tranexamic acid within 3 hours of trauma is suggested for those with active bleeding or at high risk of bleeding. For patients suspected of massive bleeding in the emergency department, a platelet-to-plasma-to-pRBC ratio of 1: 1: 1 or 1: 1: 2 is recommended by guidelines. In conclusion, traumatic coagulopathy requires immediate medical intervention and personalized treatment approaches to counteract its severe, potentially fatal consequences.

Keywords: Blood coagulation, fibrinogen, focused assessment with sonography for trauma, multiple trauma

Seyda Gedikaslan, Afsin Emre Kayipmaz. Strategies for the Effective Management of Bleeding in Trauma Patients: A Narrative Review. Acad J Health. 2023; 1(1): 21-25

Corresponding Author: Seyda Gedikaslan, Türkiye
Manuscript Language: English