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Acute Coagulopathy of Trauma in Dogs and Cats, What Do We Know?
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Over recent years, new advances in human medicine, particularly in the emergency field and treatment of haemorrhagic shock have contributed and had a great impact on veterinary medicine. The better understanding of the pathophysiological processes that a patient develops after severe trauma has allowed modifying and improving the therapeutic approach of emergencies, thus increasing survival1,2 .
Traditionally, trauma-associated coagulopathy (TAC) has been understood as a combination of excessive consumption of coagulation factors, hypothermia and dilution due to fluid therapy3 . This type of "atherogenic coagulopathy" in which the patient shows acidosis, hypothermia and hemodilution was known as acquired systemic coagulopathy4 . Since 2003, our understanding of the mechanisms and clinical importance of coagulopathy changed with the recognition of acute traumatic coagulopathy5 . Conventional protocols for resuscitation of this type of patients began to change and incorporate blood products and antifibrinolytic agents, thereby achieving a higher success rate in survival6 . Throughout the talk we will speak about the most important physiological mechanisms related to this coagulopathy, the clinical identification, the degree of study and recognition in veterinary medicine along with the current treatment options. [...]
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Affiliation of the authors at the time of publication
Servei Urgències i Medicina Intensiva, Fundació Hospital Clinic Veterinari UAB Universidad Autónoma de Barcelona Barcelona, España
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