Universität zu Köln

Lier, H., Bernhard, M., Knapp, J., Buschmann, C., Bretschneider, I. and Hossfeld, B. (2017). Approaches to pre-hospital bleeding management. Current overview on civilian emergency medicine. Anaesthesist, 66 (11). S. 867 - 879. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-055X

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Abstract

Severe bleeding is a typical result of traumatic injuries. Hemorrhage is responsible for almost 50% of deaths within the first 6 h after trauma. Appropriate bleeding control and coagulation therapy depends on an integrated concept of local hemostasis by primary pressure with the hands, compression, and tourniquets accompanied by prevention of hypothermia, acidosis and hypocalcemia. Additionally, permissive hypotension is accepted for suitable patients and tranexamic acid should be administered early. Multiple publications prove that prehospital transfusion of blood products (e. g. red blood cells and plasma) and coagulation factors (e. g. fibrinogen) is feasible and safe, but only required for < 5% of polytrauma patients in the civilian setting.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lier, H. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bernhard, M. UNSPECIFIED UNSPECIFIED UNSPECIFIED Knapp, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Buschmann, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bretschneider, I. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hossfeld, B. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-213228
DOI:	10.1007/s00101-017-0350-0
Journal or Publication Title:	Anaesthesist
Volume:	66
Number:	11
Page Range:	S. 867 - 879
Date:	2017
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-055X
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DAMAGE CONTROL RESUSCITATION; BLOOD-CELL TRANSFUSION; ACID-ASSOCIATED SEIZURES; TRANEXAMIC ACID; TRAUMA PATIENTS; HEMOSTATIC AGENTS; EARLY COAGULOPATHY; MODEL; HEMORRHAGE; MORTALITY Multiple languages Anesthesiology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/21322