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The Role of Thromboelastography Testing in the Emergency Medicine, Trauma Center, and Critical Care Environments

Thrombosis (D Slattery, Section Editor)
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Part of the following topical collections:
  1. Thrombosis

Abstract

Purpose of Review

Thromboelastography (TEG) has been gaining attention for its potential use in a variety of disease of states to guide therapies and determine prognosis. This review will explore recent research specifically regarding the use of thromboelastography in the emergency, trauma, and critical care clinical environments.

Recent Findings

Thromboelastography has its drawbacks. TEG has wide operator and machine variability. Known coagulopathic states may exhibit normal viscoelastic results, indicating inconsistent results. Thromboelastography has shown to decrease transfusion of blood products in traumatic hemorrhage. In sepsis, both hypercoagulable and hypocoagulable states occur. Patients with certain neurological conditions may have disparate results on viscoelastic testing. Patients with intracranial bleeding and hematoma expansion were found to be hypocoagulopathic, whereas acute ischemic stroke patients tend to have hypercoagulopathic results.

Summary

The bottom line is that thromboelastography requires further study before standard utilization for emergency and critical care departments.

Keywords

Thromboelastography (TEG) Guide therapies Prognosis discovery Emergency 

Notes

Compliance with Ethical Standards

Conflict of Interest

The author declares the she has no conflicts of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Emergency MedicineUniversity of Nevada-Las VegasLas VegasUSA

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