INSTRUMENTAL HEMOSTASIS MONITORING IN THE «GOLDEN HOUR»: ADVANTAGES OF THROMBOELASTOGRAPHY (TEG) OVER ROUTINE COAGULATION TESTS IN CRITICAL HEMORRHAGE
DOI:
https://doi.org/10.32782/2411-9164.24.1-2Keywords:
hemostasis, thromboelastography, TEG, coagulation profile, critical hemorrhage, massive transfusion, «golden hour,» coagulopathy, monitoring, polytraumaAbstract
This review article is devoted to the analysis of modern methods for assessing the blood coagulation system in patients with polytrauma and massive hemorrhage. The concept of the «golden hour» is examined, when timely diagnosis of traumatic coagulopathy (TC) is critical for survival. A comparative analysis of routine laboratory tests (coagulation profile) and specialized methods, particularly thromboelastography (TEG), is presented. It is demonstrated that urgent application of TEG allows for more qualitative and practical assessment of hemostatic status in vivo, identifies hyperfibrinolysis, and enables individualized transfusion therapy.
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