Early Prediction of Ongoing Hemorrhage in Severe Trauma: Presentation of the Existing Scoring Systems

Martin L Tonglet, Martin L Tonglet

Abstract

Early prediction of ongoing hemorrhage may reduce mortality via the earlier delivery of blood products, adequate orientation of the patient in a dedicated highly specialized and trained infrastructure, and by earlier correction of acute traumatic coagulopathy. We identified 14 scores or algorithms developed for the prediction of ongoing hemorrhage and the need for massive transfusion in severe trauma patients.

Keywords: Hemorrhage; Transfusion; Wounds and Injuries.

Figures

Figure 1.. The Scoring, Excluding the Code…
Figure 1.. The Scoring, Excluding the Code Red and McLaughlin Scores, Which Were Already Described in the Text
Abbreviations: AUC, area under the receiver operating characteristic curve; BD, base deficit; FAST, focused assessment sonography for trauma; GCS, Glasgow coma scale; HR, heart rate; Hb, hemoglobin; INR, international normalized ratio; NPV, negative predictive value; MT, massive transfusion; PPV, positive predictive value; SBP, systolic blood pressure.

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