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Sunday, August 23, 2015

Tromboelastografía

Maryland CC Project - 23 Sept 2013
"One of the leading experts in the use of thromboelastography (TEG) is Dr. Mark Walsh from South Bend, Indiana. We were fortunate enough to have Dr. Walsh come all the way from Notre Dame to Baltimore and discuss the role of TEG in trauma and hemorrhagic shock. Incorporating TEG into your resuscitations may be a game changer based on the evidence provided in this lecture… Study up, because it will definitely be coming to a resuscitation bay near you SOON.
Pearls

  1. The traditional end-points of resuscitation (improved LOC, skin perfusion, VS to baseline, UOP, and normal lab values) are DEAD. The new end-points of resuscitation for the trauma/bleeding patient are:
    1. Normal TEG
    2. Normal pH
    3. Would add – Normothermia
  2. Routine coagulation tests only reflect the initiation phase of hemostasis and consequently cannot be used to monitor coagulopathy. They also do not reflect clot quality or stability.
  3. Dr. Walsh’s TEG translation cheat sheet:"
http://maryland.ccproject.com/2013/09/12/utility-teg-blood-component-therapy/

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Thromboelastogram (TEG)