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Internal and Emergency Medicine
Published in: Internal and Emergency Medicine 7/2017

01-10-2017 | EM - REVIEW

The current understanding of trauma-induced coagulopathy (TIC): a focused review on pathophysiology

Authors: Stefano Giordano, Luca Spiezia, Elena Campello, Paolo Simioni

Published in: Internal and Emergency Medicine | Issue 7/2017

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Abstract

The emergency management of acute severe bleeding in trauma patients has changed significantly in recent years. In particular, greater attention is now being devoted to a prompt assessment of coagulation alterations, which allows for immediate haemostatic resuscitation procedures when necessary. The importance of an early trauma-induced coagulopathy (TIC) diagnosis has led physicians to increase the efforts to better understand the pathophysiological alterations observed in the haemostatic system after traumatic injuries. As yet, the knowledge of TIC is not exhaustive, and further studies are needed. The aim of this review is to gather all the currently available data and information in an attempt to gain a better understanding of TIC. A comprehensive literature search was performed using MEDLINE database. The bibliographies of relevant articles were screened for additional publications. In major traumas, coagulopathic bleeding stems from a complex interplay among haemostatic and inflammatory systems, and is characterized by a multifactorial dysfunction. In the abundance of biochemical and pathophysiological changes occurring after trauma, it is possible to discern endogenously induced primary predisposing conditions and exogenously induced secondary predisposing conditions. TIC remains one of the most diagnostically and therapeutically challenging condition.
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Metadata
Title
The current understanding of trauma-induced coagulopathy (TIC): a focused review on pathophysiology
Authors
Stefano Giordano
Luca Spiezia
Elena Campello
Paolo Simioni
Publication date
01-10-2017
Publisher
Springer International Publishing
Published in
Internal and Emergency Medicine / Issue 7/2017
Print ISSN: 1828-0447
Electronic ISSN: 1970-9366
DOI
https://doi.org/10.1007/s11739-017-1674-0

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