ROTEM® EXTEM A5 to predict massive transfusion and in‐hospital mortality in trauma: a retrospective analysis of 1146 patients
Perioperative Hemostatic Management of Cardiohepatic Transplant with Rotational Thromboelastometry (ROTEM)
The haemostatic management of the cardiohepatic transplant becomes a challenge considering not only the coagulopathy of the end stage liver disease (ESLD) but also the alteration of the extracorporeal circulation (ECC). Standard laboratory tests (SLTs) do not allow the correct diagnosis presenting slow turnaround times and increasing the number of allogeneic transfusions. Until now, algorithms for haemostatic management of multiorgan transplants have not been published.
We propose a five step algorithm (pre ECC, intra ECC, post protamine/ basal hepatic, anhepatic and reperfusion) guided by ROTEM, based on factor concentrates therapy.
Role of Conjunct Thromboelastometry and Aggregometry for Identification of Clotting Abnormalities and Early Severity Stratification in the Emergency Department in Patients with Sepsis
This study represents the first attempt of a joined application of POC coagulation tests in patients with suspected sepsis and correlated clinical conditions. This is furthermore the first study where thromboelastometry and impedance aggregometry were tested in patients during early presentation to the ED.
This work highlights the potential role of readily available coagulation POC tests in promptly identifying peculiar alterations in patients with sepsis and septic shock in the ED, supporting treatment celerity and appropriateness.
Getting the antivenom dose right for brown snake bites is still guess work, but that could change due to new EMF-funded research by Townsville emergency clinicians and researchers.
If you missed the #ABCradio interview, you can now read the transcript here https://lnkd.in/f3whmdH
Research led by Townsville Hospital and Health Service emergency doctor #Adam Holyoak in collaboration with James Cook University researchers. EMF's Queensland Research Program is funded by Queensland Health.
Date: 24 February 2018
Venue: Education Centre, Royal Brisbane and Women’s Hospital
A great program with international and local experts https://metronorth.health.qld.gov.au/events/blood-management-symposium
In the interview we briefly discuss the role of fibrinogen in the acquired coagulopathy that often develops during major haemorrhage, the historical treatments used (FFP, cryoprecipitate), the history of fibrinogen concentrate and where we think fibrinogen concentrate might fit into the current management of major haemorrhage - both in tertiary but also remote, regional and retrieval situations.
You can here this interview on the podcast app for iTunes or check it out here on the website:
Come and join us by registering for the 3rd Obstetric Intensive Care Symposium 23rd – 24th February 2018 Adelaide Oval - Some great talks and workshops on bleeding management
Some great talks, posters and presentation featuring Patient Blood Management , POC and ROTEM. Looking forward to the renames "BLOOD" in 2018 .
We had a great week installing and training the trauma and emergency team at the new RAH on our lovely ROTEM sigma device. The ROTEM sigma is located in a dedicated POC area in ED Resuscitation Bays in Australia. True POC targeted bleeding management #timetotreat. Many thanks to Carla and Liam for the support. Looking forward to working with you.
How it works in action at the @ Gold Coast University Hospital with Dr James Winearls from Transfusion Education . This popular presentation is now available as a recording. This session outlines the GCUH targeted coagulation management strategy and its implementation using case study examples. The rationale, the evidence and the technology is highlighted.
Presenter: Dr James Winearls, Consultant Intensivist, Gold Coast University Hospital.
Fibrinogen is a key predictor of whether the patient will go on to have a PPH Dr Erin Chamberlin & Dr Surbhi Malhotra Director of Anaesthetics & Perioperative Medicine
A great talk by Mr Ross Davenport, consultant Trauma and Vascular surgeon at the Royal London Hospital and Senior Investigator at the Centre for Trauma Sciences, discusses the pathophysiology of coagulopathy following trauma/ shock induced major haemorrhage. Talk ranges over current state of knowledge about causes, changes in treatments over time and evidence base for their effectiveness. https://vimeo.com/221457033