{"id":23866,"date":"2023-06-14T04:16:00","date_gmt":"2023-06-13T20:16:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=23866"},"modified":"2023-06-14T05:43:38","modified_gmt":"2023-06-13T21:43:38","slug":"icu-management-practice-%e6%ac%a7%e6%b4%b2%e6%8c%87%e5%8d%97%ef%bc%9a%e5%88%9b%e4%bc%a4%e5%90%8e%e5%87%ba%e8%a1%80%e5%8f%8a%e5%87%9d%e8%a1%80%e5%8a%9f%e8%83%bd%e9%9a%9c%e7%a2%8d%e7%9a%84%e8%af%8a","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=23866","title":{"rendered":"[ICU Management & Practice]: \u6b27\u6d32\u6307\u5357\uff1a\u521b\u4f24\u540e\u51fa\u8840\u53ca\u51dd\u8840\u529f\u80fd\u969c\u788d\u7684\u8bca\u7597"},"content":{"rendered":"\n

European Guidelines: Management of Bleeding, Coagulopathy Following Trauma<\/h1>\n\n\n\n
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According to the Global Burden of Diseases, Injuries, and Risk Factors Study, trauma accounted for 8% of total deaths annually. Among adolescents aged 10-24 years, road injuries, self-harm, and interpersonal violence are the top causes of disability-adjusted life-years, and road injuries are ranked first in the 25-49 year age group. Post-traumatic bleeding and associated traumatic coagulopathy remain leading causes of potentially preventable multi-organ failure and death if not diagnosed and managed appropriately and timely.<\/p>\n\n\n\n

About one-third of patients who have experienced severe trauma arrive at the hospital in a coagulopathic state. A systematic diagnostic and therapeutic approach can reduce the number of preventable deaths from traumatic injury.<\/p>\n\n\n\n

The management of post-traumatic bleeding is a major challenge for healthcare systems worldwide, as traumatic coagulopathy and associated bleeding remain the leading causes of preventable multi-organ failure and death. <\/p>\n\n\n\n

The sixth edition of the European guidelines provides recommendations for clinicians caring for bleeding trauma patients during the initial diagnostic and therapeutic phases of patient management.<\/p>\n\n\n\n

The Task Force for Advanced Bleeding Care in Trauma, consisting of representatives from six European professional societies, assessed and updated the previous version of the guideline using a structured, evidence-based consensus approach. Literature searches were conducted since the last edition, citing only the highest-quality studies and most relevant literature, reflecting the trend towards concise guideline documents.<\/p>\n\n\n\n

The guideline consists of 39 clinical practice recommendations that follow a temporal path for managing bleeding trauma patients, grouped behind key decision points. With nearly one-third of severe trauma patients arriving at the hospital in a coagulopathic state, a systematic diagnostic and therapeutic approach can reduce the number of preventable deaths from traumatic injury.<\/p>\n\n\n\n

The key messages of the new guidelines include the following:<\/p>\n\n\n\n