Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/5419
Title: Successful ROTEM-guided transfusion therapy in a case of rural paediatric trauma
Authors: Choy, Kay Tai 
Hartslief, Merve 
Issue Date: 2019
Source: Choy KT, Hartslief M. Successful ROTEM-guided transfusion therapy in a case of rural paediatric trauma. BMJ Case Rep. 2019 Jul 27;12(7):e229508. doi: 10.1136/bcr-2019-229508. PMID: 31352383; PMCID: PMC6663165.
Journal: BMJ Case Reports
Abstract: Massive transfusion therapy in severe paediatric trauma is a challenge. When this occurs in a rural setting, the potential delays in accessing medical services can lead to worse coagulopathy on presentation. We report successful treatment of a child post-traumatic lower limb amputation where treatment was only initiated 3 hours postinjury due to difficulties in access/retrieval. Rotational thromboelastometry (ROTEM)-guided, goal-directed haemostatic therapy perioperatively utilising a blood product ratio of 2:2:1 units of red blood cell:free frozen plasma:platelet reverted his coagulopathy. This report aims to raise awareness of the utility of ROTEM in paediatric trauma.
Description: Cairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Kay Tai Choy, Merve Hartslief
DOI: 10.1136/bcr-2019-229508
Keywords: haematology (incl blood transfusion);resuscitation;trauma
Type: Article
Appears in Sites:Cairns & Hinterland HHS Publications

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