[The lethal triad of hemorrhage]

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Rachel Borowko1, Pierre-Olivier Vignon1, Noémie Lutz1

  • 1Structure des urgences, hôpital d'instruction des armées Legouest, rue des Frères-Lacretelle, 57000 Metz, France.

Revue De L'Infirmiere
|August 27, 2021
PubMed

Coagulopathy, acidosis and hypothermia form the lethal triad in trauma patients with acute hemorrhage. The prevention of this chain reaction relies on an adapted management from the first care in pre-hospital situation: rapid arrest of bleeding, fight against hypothermia, limited vascular filling with an early recourse to vasoactive amines. Pre-hospital transfusion is still rare, whereas in the hospital, an adapted transfusion strategy can wait for or support a surgical or radiological hemostasis procedure.

Keywords:
acidoseacidosiscoagulopathiecoagulopathyhemorrhagehypothermiahypothermiehémorragieresuscitationréanimationtraumatraumatisme

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