Journal of Emergencies, Trauma, and Shock

ORIGINAL ARTICLE
Year
: 2018  |  Volume : 11  |  Issue : 4  |  Page : 265--270

World Academic Council of Emergency Medicine experience document: Implementation of point-of-care thromboelastography at an academic emergency and trauma center


Bianca M Wahlen1, Ayman El-Menyar2, Ruben Peralta3, Hassan Al-Thani4 
1 Department of Anesthesia and Trauma Surgery, Hamad General Hospital, Doha, Qatar
2 Department of Surgery, Trauma and Vascular Surgery, Clinical Research, Hamad General Hospital; Department of Clinical Medicine, Weill Cornell Medical College, Doha, Qatar
3 Department of Surgery, Trauma Surgery, Hamad General Hospital, Doha, Qatar
4 Department of Surgery, Trauma and Vascular Surgery, Hamad General Hospital, Doha, Qatar

Correspondence Address:
Dr. Ayman El-Menyar
Department of Surgery, Trauma and Vascular Surgery, Clinical Research, Hamad General Hospital, Doha
Qatar

Background: We aimed to discuss the initial experience of the implementation of point-of-care thromboelastography (POC-TEG) at the Level 1 Trauma Center of an academic health institution in Qatar. Materials and Methods: A TEG protocol was developed and tailored to our hospital requirements and patient population, after an exhausting review of the literature and international published protocols, including a synthesis of a preexisting TEG protocol from our heart hospital. To successfully achieve the incorporation of point-of-care testing (POCT) in our clinical practice, a multidisciplinary organizational and education approach is required. The education and training of the physicians in this POCT modality during the first 3 months period has been described in detail. Results: A TEG protocol has been developed and implemented according to hospital standards. Ten physicians from the department of trauma surgery have been trained over a 3-month period to perform the daily quality control as well as the patient samples in order to provide a 24/7 service. In patients with major trauma, brain injury, bleeding, sepsis, and coagulopathy are the most important determinants of the clinical course and outcomes. Viscoelastic whole-blood assays have already proved their values in cardiac as well as liver surgery. Therefore, this POCT-directed approach would be considered as a part of the goal-directed management in severe polytrauma patients. Conclusions: Our experience shows that implementation of POC-TEG program is feasible and it is a promising tool in the management of major trauma patients with a potential compromised coagulation. However, further prospective research projects and well-trained personnel still warranted.


How to cite this article:
Wahlen BM, El-Menyar A, Peralta R, Al-Thani H. World Academic Council of Emergency Medicine experience document: Implementation of point-of-care thromboelastography at an academic emergency and trauma center.J Emerg Trauma Shock 2018;11:265-270


How to cite this URL:
Wahlen BM, El-Menyar A, Peralta R, Al-Thani H. World Academic Council of Emergency Medicine experience document: Implementation of point-of-care thromboelastography at an academic emergency and trauma center. J Emerg Trauma Shock [serial online] 2018 [cited 2021 Apr 21 ];11:265-270
Available from: https://www.onlinejets.org/article.asp?issn=0974-2700;year=2018;volume=11;issue=4;spage=265;epage=270;aulast=Wahlen;type=0