Battle, C.E., Lecky, F.E., Stacey, T. et al. (2 more authors) (2016) Management of the anticoagulated trauma patient in the emergency department: A survey of current practice in England and Wales. Emergency Medicine Journal, 33 (6). pp. 403-407. ISSN 1472-0205
Abstract
Objective The aim of this study was to investigate current management of the anticoagulated trauma patient in the emergency departments (EDs) in England and Wales. Methods A survey exploring management strategies for anticoagulated trauma patients presenting to the ED was developed with two patient scenarios concerning assessment of coagulation status, reversal of international normalised ratio (INR), management of hypotension and management strategies for each patient. Numerical data are presented as percentages of total respondents to that particular question. Results 106 respondents from 166 hospitals replied to the survey, with 24% of respondents working in a major trauma unit with a specialist neurosurgical unit. Variation was reported in the assessment and management strategies of the elderly anticoagulated poly-trauma patient described in scenario one. Variation was also evident in the responses between the neurosurgical and non-neurosurgical units for the headinjured, anticoagulated trauma patient in scenario two. Conclusion The results of this study highlight the similarities and variation in the management strategies used in the EDs in England and Wales for the elderly, anticoagulated trauma patient. The variations in practice reported may be due to the differences evident in the available guidelines for these patients.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2016 Author(s). This is an author produced version of a paper subsequently published in Emergency Medicine Journal. Uploaded in accordance with the publisher's self-archiving policy. |
Dates: |
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Institution: | The University of Sheffield |
Academic Units: | The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield) |
Depositing User: | Symplectic Sheffield |
Date Deposited: | 16 Aug 2016 11:21 |
Last Modified: | 25 Oct 2016 04:06 |
Published Version: | http://dx.doi.org/10.1136/emermed-2015-205120 |
Status: | Published |
Publisher: | College of Emergency Medicine |
Refereed: | Yes |
Identification Number: | 10.1136/emermed-2015-205120 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:102245 |