Prähospitale Strategien zur Minimierung des Blutverlustes

2020 ◽  
Vol 55 (10) ◽  
pp. 603-619
Author(s):  
Florent Josse ◽  
Andreas Stöhr ◽  
Raimund Lechner ◽  
Matthias Helm ◽  
Björn Hossfeld
Keyword(s):  
Critical Bleeding

ZusammenfassungDie „kritische“ Blutung ist definiert durch ihr lebensbedrohliches Ausmaß und stellt die häufigste prähospital vermeidbare Todesursache dar. Für äußere Blutungen existieren adäquate prähospitale Therapiestrategien – sie müssen aber stets in ein Gesamtkonzept entsprechend dem <C>ABCDE-Algorithmus (<C> für „critical bleeding“) eingebettet sein. In diesem Beitrag wird auf lokale manuelle Maßnahmen zur prähospitalen Blutungskontrolle fokussiert.

Roles of Four-Factor Prothrombin Complex Concentrate in the Management of Critical Bleeding

2021 ◽  
Author(s):  
Kenichi A Tanaka ◽  
Shashank Shettar ◽  
Kofi Vandyck ◽  
Susan M Shea ◽  
Ezeldeen Abuelkasem
Keyword(s):  
Prothrombin Complex Concentrate ◽  
Critical Bleeding

New frontiers in critical bleeding

2007 ◽  
pp. 449-454
Author(s):  
S. Busani ◽  
L. Donno ◽  
M. Girardis
Keyword(s):  
Critical Bleeding

Critical Bleeding in Blunt Trauma Patients

2007 ◽  
pp. 244-254
Author(s):  
O. Chiara ◽  
S. Cimbanassi ◽  
S. Vesconi
Keyword(s):  
Blunt Trauma ◽  
Trauma Patients ◽  
Critical Bleeding

scholarly journals Predictive Factors for Massive Transfusion in Trauma: A Novel Clinical Score from an Italian Trauma Center and German Trauma Registry

2020 ◽  
Vol 9 (10) ◽  
pp. 3235
Author(s):  
Sara Giulia Cornero ◽  
Marc Maegele ◽  
Rolf Lefering ◽  
Claudia Abbati ◽  
Shailvi Gupta ◽  
...  
Keyword(s):  
Trauma Registry ◽  
Massive Transfusion ◽  
Damage Control ◽  
Area Under The Curve ◽  
Clinical Score ◽  
Limb Amputation ◽  
Predictive Score ◽  
Trauma Patients ◽  
Early Management ◽  
Critical Bleeding

Early management of critical bleeding and coagulopathy can improve patient survival. The aim of our study was to identify independent predictors of critical bleeding and to build a clinical score for early risk stratification. A prospective analysis was performed on a cohort of trauma patients with at least one hypotensive episode during pre-hospital (PH) care or in the Emergency Department (ED). Patients who received massive transfusion (MT+) (≥4 blood units during the first hour) were compared to those who did not (MT−). Hemodynamics, Glagow Coma Score (GCS), diagnostics and blood tests were evaluated. Using multivariate analysis, we created and validated a predictive score for MT+ patients. The predictive score was validated on a matched cohort of patients of the German Trauma Registry TR-DGU. One hundred thirty-nine patients were included. Independent predictors of MT+ included a prehospital (PH) GCS of 3, PH administration of tranexamic acid, hypotension and tachycardia upon admission, coagulopathy and injuries with significant bleeding such as limb amputation, hemoperitoneum, pelvic fracture, massive hemothorax. The derived predictive score revealed an area under the curve (AUC) of 0.854. Massive transfusion is essential to damage control resuscitation. Altered GCS, unstable hemodynamics, coagulopathy and bleeding injuries can allow early identification of patients at risk for critical hemorrhage.

Acquired hemophilia A: A critical bleeding syndrome in the elderly

2013 ◽  
Vol 24 ◽  
pp. e171
Author(s):  
A.R. Oliveira ◽  
A. Raposo ◽  
A.A. Santos ◽  
M.J. Diniz ◽  
C. Marques ◽  
...  
Keyword(s):  
Hemophilia A ◽  
The Elderly ◽  
Acquired Hemophilia A ◽  
Acquired Hemophilia ◽  
Critical Bleeding
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