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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Monday, January 11, 2021

ITACTIC

REBEL Cast Ep94 - By Salim Rezaie - January 11, 2021
Paper: Badsaas-Aasen K et al. Viscoelastic Haemostatic Assay Augmented Protocols for Major Trauma Haemorrhage (ITACTIC): A Randomized, Controlled Trial. Intensive Care Med 2020. PMID: 33048195
"Clinical Question: Does augmenting massive transfusion protocols using viscoelastic hemostatic assays (VHAs) decrease mortality and massive transfusion at 24 hours compared to conventional coagulation tests (CCTs)?
Author Conclusion: “There was no difference in overall outcomes between VHA- and CCT-augmented-major haemorrhage protocols.”
Clinical Take Home Point: It is unsurprising that coagulation monitoring did not alter clinical outcomes in this study as there was a high prevalence of patients who never had or developed coagulopathy. This RCT does not provide evidence to support using VHA to guide resuscitation in adult trauma patients"