Severe trauma-related bleeding is associated with high mortality. Standard coagulation tests provide limited\r\ninformation on the underlying coagulation disorder. Whole-blood viscoelastic tests such as rotational\r\nthromboelastometry or thrombelastography offer a more comprehensive insight into the coagulation process in\r\ntrauma. The results are available within minutes and they provide information about the initiation of coagulation,\r\nthe speed of clot formation, and the quality and stability of the clot. Viscoelastic tests have the potential to guide\r\ncoagulation therapy according to the actual needs of each patient, reducing the risks of over- or under-transfusion.\r\nThe concept of early, individualized and goal-directed therapy is explored in this review and the AUVA Trauma\r\nHospital algorithm for managing trauma-induced coagulopathy is presented.
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