Abstract
Rossaint and colleagues provide the critical care community with a comprehensive review of evidence-based data in an updated European guideline on management of bleeding following major trauma. In addition to reevaluating and grading recommendations carried forward from their previous work, they present new recommendations in areas such as coagulation support and monitoring, tourniquet usage, calcium, and desmopressin. Many of the recommendations are appropriately broad enough to promote the use of clinical judgment in the application of the guidelines.
Highlights
Rossaint and colleagues provide the critical care community with a comprehensive review of evidence-based data in an updated European guideline on management of bleeding following major trauma
The incredible variety of injury mechanisms in this diverse population guarantees that some studies will never be done. This is not discouraging, but rather an affirmation of the role of clinical judgment that is based on knowledge of published data, personal clinical experience, and the needs of each individual patient
*Correspondence: william.riordan@vanderbilt.edu 1Vanderbilt University Medical Center, 1211 21st Avenue South, 404 Medical Arts Building, Nashville, TN 37212, USA Full list of author information is available at the end of the article
Summary
Rossaint and colleagues provide the critical care community with a comprehensive review of evidence-based data in an updated European guideline on management of bleeding following major trauma. The challenge of providing comprehensive ‘evidencebased’ guidelines for the management of bleeding in trauma patients is readily apparent. This is not discouraging, but rather an affirmation of the role of clinical judgment that is based on knowledge of published data, personal clinical experience, and the needs of each individual patient.
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
