Coagulopathy management of multiple injured patients – a comprehensive literature review of the European guideline 2019

Abstract

• The European guideline on the management of trauma-induced major bleeding and coagulopathy summarises the most relevant recommendations for trauma coagulopathy management. • The management of trauma-induced major bleeding should interdisciplinary follow algorithms which distinguish between life-threatening and non-life-threatening bleeding. • Point-of-care viscoelastic methods (VEM) assist target-controlled haemostatic treatment. Neither conventional coagulation assays nor VEM should delay treatment in life-threatening trauma-induced bleeding. • Adjustments may be rational due to local circumstances, including the availability of blood products, pharmaceuticals, and employees