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Hæmostatisk resuscitation til blødende traumepatienter

Forfatter(e)
Jakob Stensballe1, 2, Pär I. Johansson2, 3, 4 & Jacob Steinmetz1 1 Anæstesi- og Operationsklinikken, HovedOrtoCentret, Rigshospitalet 2) Transfusionsmedicinsk Enhed, Region Hovedstadens Blodbank, Rigshospitalet 3) Department of Surgery, Division of Acute Care Surgery, Centre for Translational Injury Research (CeTIR), University of Texas Medical School at Houston 4) Centre for Systems Biology, The School of Engineering and Natural Sciences, University of Iceland Ugeskr Læger 2016;178:V06160450
Reference: 
Ugeskr Læger 2016;178:V06160450
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Haemostatic resuscitation in bleeding trauma patients
Trauma haemorrhage is a common reversible cause of death. Haemostatic resuscitation focuses on replacing the lost blood with transfusions equivalent to whole blood as early as possible. In Denmark, the optimal ratio for transfusions in massive bleeding is four packs of red blood cells, four packs of plasma and one pool of platelets (equal to ratio 1:1:1 in USA). Haemostatic resuscitation also includes a restricted use of crystalloids, early tranexamic acid, and a goal-directed transfusion therapy by using viscoelastic haemostatic assays to detect coagulopathy and the need for additional transfusions or pro-haemostatics.
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