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首页> 外文期刊>Canadian Journal of Emergency Medicine >The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre
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The practicalities and barriers of using TEG6s in code red traumas: an observational study in one London major trauma centre

机译：使用TEG6S在redraumas中使用TEG6S的实用性和障碍：一个伦敦主要创伤中心的观察研究

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ObjectiveTrauma induced coagulopathy is a disorder of the coagulation pathway that occurs following major trauma. “Code red trauma” require massive hemorrhage protocol activation. The aim was to qualitatively establish the reasons TEG is not currently utilized and the ongoing practicalities in performing a TEG sample for trauma-related massive hemorrhage.MethodsA pilot study was performed using a TEG6s machine within one central London Major Trauma Centre’s resuscitation department. Staff were asked to run a TEG sample on any “code red” patient who attended during the trial. Staff were given questionnaires both before and after the trial to assess the knowledge around TEG.ResultsA TEG sample was performed in 75% of the sixteen “code red traumas,” with one sample being unsuccessful. Only one patient had their blood component management altered due to the TEG result with only 50% of consultants and registrars surveyed feeling confident in interpreting TEG results.ConclusionTEG6s samples can be run within the resuscitation department in a “code red trauma.” However, there is a significant lack of knowledge relating to TEG within the emergency department which is likely to hinder its impact on personalized blood component management. More research is required in how to provide appropriate education in a busy setting to enable TEG to be utilized appropriately.
机译：Objectivetrauma诱导的凝血病是凝血途径的疾病，其发生在主要创伤后发生。 “代码红色创伤”需要大量出血协议激活。目的是定性建立TEG目前未使用的原因，并且持续的实用性在伦敦中央伦敦中央创伤中心的复苏部门内使用TEG6S机器进行TEGSA试验研究。要求工作人员在审判期间出席的任何“代码红色”患者进行TEG样本。员工在审判之前和之后给予问卷，以评估TEG.Resultsa TEG样品的知识，在十六个“代码红色创伤”中的75％中进行，其中一个样本不成功。由于TEG，只有一名患者因TEG而改变，只有50％的顾问和注册商被调查，在解释TEG结果中有信心.ConclusionteG6S样本可以在“代码红色创伤”中的复苏部门运行。但是，在急诊部门内的TEG有一个重要的知识，可能会阻碍其对个性化血液成分管理的影响。如何在繁忙设置中提供适当的教育以使TEG适当地利用更多的研究。

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