Management of bleeding following major trauma: an updated European guideline
By R. Rossaint, B. Bouillon, V. Černý, T. Coats, J. Duranteau, E. Fernández-Mondéjar, B. Hunt, R. Komadina, G. Nardi, E. Neugebauer and 6 more. Critical Care, 2010
773 citations recorded by the source corpus.
IntroductionEvidence-based recommendations are needed to guide the acute management of the bleeding trauma patient, which when implemented may improve patient outcomes.MethodsThe multidisciplinary Task Force for Advanced Bleeding Care in Trauma was formed in 2005 with the aim of developing a guideline for the management of bleeding following severe injury. This document presents an updated version of the guideline published by the group in 2007. Recommendations were formulated using a nominal group process, the Grading of Recommendations Assessment, Development and Evaluation (GRADE) hierarchy of evidence and based on a systematic review of published literature.ResultsKey changes encompassed in this version of the guideline include new recommendations on coagulation support and monitoring and the appropriate use of local haemostatic measures, tourniquets, calcium and desmopressin in the bleeding trauma patient. The remaining recommendations have been reevaluated and graded based on literature published since the last edition of the guideline. Consideration was also given to changes in clinical practice that have taken place during this time period as a result of both new evidence and changes in the general availability of relevant agents and technologies.ConclusionsThis guideline provides an evidence-based multidisciplinary approach to the management of critically injured bleeding trauma patients.
Subfields: Critical Care and Intensive Care Medicine, Emergency Medicine, Surgery
View Paper: https://www.semanticscholar.org/paper/3efae642ce6af4776409c6bcfa13957748ac6d4c
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Citations in the corpus
- The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition (2016, methodology): “Recommendations published in 7 previous editions of the guideline [32-34] were reconsidered and revised based on new 8 scientific evidence and observed shifts in clinical practice as appropriate.”
- The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition (2019, methodology): “This European clinical practice guideline, originally published in 2007 [36] and updated in 2010 [37], 2013 [38] and 2016 [39], represents the fifth edition of the guideline and”
- Management of bleeding and coagulopathy following major trauma: an updated European guideline (2013, background): “This European guideline, originally published in 2007 [22] and updated in 2010 [23], represents a second”