Rossaint R, Afshari A, Bouillon B, et al. The European guideline on management of major bleeding and coagulopathy following trauma: sixth edition. Crit Care. 2023;27:80.
Recommends the early and repeated monitoring of hemostasis, using either a traditional laboratory determination such as prothrombin time (PT)/international normalised ratio (INR), Clauss fibrinogen level and platelet count and/or point-of-care (POC) PT/INR and/or a viscoelastic method.
Recommends that resuscitation measures be continued using a goal-directed strategy, guided by standard laboratory coagulation values and/or viscoelastic methods.