Latest News

Product

13th Jan 2015

Acute traumatic coagulopathy (ATC) is an impairment of hemostasis that occurs early after injury and is associated with a 4-fold higher mortality, increased transfusion requirements and organ failure.

Acute traumatic coagulopathy happens within minutes of the traumaThis post is based mostly on reading a recent book chapter: “Periperative Hemostasis in Trauma”*   Research has shown that a severe trauma creates inherent problems with the body’s ability to stop bleeding. This is critical as exsanguinations is still the leading cause of preventable trauma death, accounting for 50 % of trauma death in the first 24 hours. In 2003, two separate studies found that 1 in 4 trauma patients arrive at hospital with impaired coagulation, this impairment is now known as ATC (Acute Traumatic Coagulopathy).

Acute traumatic coagulopathy (ATC) happens within minutes of the trauma, it can be made worse by diluting the blood (in resuscitation) and as clotting factors are used up, but is inherent in the response to the trauma. It becomes more common and more severe as injury severity gets worse. Patients with coagulopathy, such as ATC have more blood loss, higher rates of complications such as organ failure or infection and higher mortality rates (up to 50 %). The concept of acute traumatic coagulopathy (ATC) has been part of the revolution in resuscitation techniques known as “Damage Control Resuscitation”. Definitions of exactly what is in DCR vary**, but essentially it includes the rapid control of bleeding, early administration of blood components and limiting the amount of clear fluids. Research is still going on about the cause and mechanism of ATC but it is clear that rapid control of bleeding is part of the solution to improving the survival and outcome for patients.  

* Perioperative Hemostasis in Trauma, by C Heim and K Brohi, pp311-330 in “Perioperative Hemostasis, Coagulation for Anesthesiologists” Eds, Marcucci CE, Schoettker P, Published by Springer, New York, 2015.  

** For example see “Damage Control Reuscitation, TK Hodgetts, PF Mahoney, E Kirkman, in JR Army Med Corps, 153(4):299-300.

Acute Traumatic Coagulopathy – Update

Get In Touch

Get In Touch

Col 1

Col 2

Enquiry Type

Col 3

Made To Save Lives

CELOX Medical Trading name of

Medtrade Products Ltd,
Electra House, Crewe Business Park,
Crewe,
UK,
CW1 6GL

OMNI-STAT Medical

New York – SoHo – Hudson Square,
101 Avenue of the Americas,
8th and 9th Floors,
New York, USA,
NY 10013

This website uses Cookies to improve your browsing experience and to help with our marketing. You can read more about removing Cookies here: Cookie Policy

I'm fine with this
Get In Touch

Get In Touch

We would like to hear from you. Please send us a message by filling out the form below and we will get back with you shortly.

Col 1

Col 2

Enquiry Type

Col 3