TEG®- or ROTEM®-Based Individualized Goal-Directed Coagulation Algorithms: Don’t Wait–Act Now

In trauma patients, TEG® and ROTEM® allow prediction of massive transfusion requirement and mortality, and creation of goal–directed, individualized coagulation algorithms that may improve patient outcome. This outcome benefit has been shown for cardiac surgery in prospective randomized trials. For trauma, only non-randomized studies have been performed. Nevertheless, TEG® and ROTEM® are highly promising monitoring techniques to guide coagulation management in all types of major bleeding, including trauma.