Acute traumatic coagulopathy
Coagulopathy following trauma is multifactorial, involving
various components of the coagulation system. Endothelium,
platelets, fibrin activation and dysfunction, fibrinolytic pathways;
all play a crucial role. Which of these mechanisms
predominates, dependents on the severity of trauma. There
appear to be six main initiators of acute
traumatic coagulopathy: 1. Tissue injury 2. Shock e hypoperfusion
3. Hemodilution 4. Hypothermia 5. Acidosis and 6.
Inflammation.