Compliance of trauma team leaders with administering tranexamic acid for significant hemorrhage
Joint Authors
al-Mansur, Shaykhah Khalid
al-Abbasi, Thamir
Source
Issue
Vol. 40, Issue 4 (31 Dec. 2018), pp.219-221, 3 p.
Publisher
King Hamad University Hospital
Publication Date
2018-12-31
Country of Publication
Bahrain
No. of Pages
3
Main Subjects
Abstract EN
Hyperfibrinolysis forms an integral component of the acute coagulopathy of trauma trauma.
This process can be blocked by antifibrinolytic drugs such as tranexamic acid (TXA).
Objective: To evaluate the current compliance rate of trauma team leaders (TTL) of administering TXA for eligible patients.
Design: A Retrospective Study.
Setting: Bahrain Defence Force Hospital, Bahrain.
Method: A retrospective clinical study was performed from October 2016 to March 2017.
The patients data were retrieved from the trauma registry and only those ≥18 years old were included.
Sixty-one patients were seen in the trauma bay.
The compliance rate of administering TXA was documented.
The inclusion criteria were as follows: adult trauma patients (>18 years) with evidence of ongoing hemorrhage on arrival to the trauma bay suggested by: systolic blood pressure (SBP) ≤ 90, heart rate (HR) ≥ 110, and patients transfused with 1 unit of O-PRBC (packed red blood cells).
The exclusion criteria included age ≤18, hypersensitivity to TXA or any of its excipients, and frank hematuria.
Result: Twenty-six patients out of 58 (44.8%) had met the inclusion criteria and were supposed to receive TXA according to hospital guidelines.
Only 8 (30.7%) received TXA as part of their initial resuscitation in the trauma bay.
Conclusion: A low compliance rate was observed.
Current efforts can be directed towards adjusting guidelines and reinforcing seminars to improve adherence.
Other interventions can be implemented in the long-term.
American Psychological Association (APA)
al-Mansur, Shaykhah Khalid& al-Abbasi, Thamir. 2018. Compliance of trauma team leaders with administering tranexamic acid for significant hemorrhage. Bahrain Medical Bulletin،Vol. 40, no. 4, pp.219-221.
https://search.emarefa.net/detail/BIM-874367
Modern Language Association (MLA)
al-Mansur, Shaykhah Khalid& al-Abbasi, Thamir. Compliance of trauma team leaders with administering tranexamic acid for significant hemorrhage. Bahrain Medical Bulletin Vol. 40, no. 4 (Dec. 2018), pp.219-221.
https://search.emarefa.net/detail/BIM-874367
American Medical Association (AMA)
al-Mansur, Shaykhah Khalid& al-Abbasi, Thamir. Compliance of trauma team leaders with administering tranexamic acid for significant hemorrhage. Bahrain Medical Bulletin. 2018. Vol. 40, no. 4, pp.219-221.
https://search.emarefa.net/detail/BIM-874367
Data Type
Journal Articles
Language
English
Record ID
BIM-874367