Embed Size (px)
Citation preview
29/11/2013
1
SEVERE BLEEDING: FROM BASICS TO PRACTICE, November 28th
2013, Brussels, Dr Martin TONGLET, Liège
29/11/2013
2
My conflicts of interest
Travel support from Octapharma.
29/11/2013
3
29/11/2013
4
Our local experience in Liège
Building Team workingClinicians <-> Blood bank
Implementing protocolsMassive transfusion protocol, Trauma guidelines,…
Encourage teaching and trainingPHTLS, Simulation, …
29/11/2013
5
Looking further: local research
The TICCS study
Pre-hospital, easy-to-measure and purely clinical trauma score to identify trauma patients with active bleeding, coagulopathy and need for DCR.
29/11/2013
6
29/11/2013
7
TICCS >=10 = Active bleeding, TIC and need for DCRSensitivity of 100%Specificity of 95,5%AUC 0.97 p < 0.0001
Presented at the ISCB 2013
29/11/2013
8
THE TRAUMA INDUCED COAGULOPATHY CLINICAL SCORE (TICCS): EASY PRE-HOSPITAL FLAGGING OF TRAUMA PATIENTS WITH ACTIVE BLEEDING, TIC AND NEED FOR DCR
29/11/2013
9
Promoting research partnership
RED FLAG TRIALMulti center study about the impact on patients 'outcome of pre-hospital identification of trauma patients needing DCR
When your general Emergency unit offers its best.
29/11/2013
10
WE CAN ALL BE PART OF IT
- Expert days- Red Flag trial- Multicenter research partnership- Study groups - …
29/11/2013
11
THANK YOU
