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Thromboelastography TEG is coming to an emergency department near you. For those who rotated at Shock, TEG is utilized to guide administration of blood products during massive transfusion protocol in a bleeding patient. INR and aPTT only measure the enzymatic clotting time, which means they only measure clotting cascade up until fibrin. Utilizing these tests, it is impossible to know the causes s of coagulopathy in intracranial hemorrhage or GI bl er the last time the took their meds. TEG is a whole blood test and assays clot formation, mechanical strength and stability across time.
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