Management of trauma patients with haemorrhagic shock
and acute traumatic coagulopathy is complex and difficult
and remains a challenge. In spite of better understanding of
pathophysiology of the events leading to acute traumatic
coagulopathy, the mortality associated with it remains high.
The role of the treating physician is, to identify the source of
bleeding and achieve rapid control of bleeding by various
measures. The main objective then would be to follow damage
control resuscitation guidelines by maintaining tissue
oxygenation, proper and judicious use of volume expanders.
Early use of blood and blood products is to be encouraged in
order to prevent development of acute traumatic coagulopathy.
The key would remain prevention, detection and early
management of acute traumatic coagulopathy.