General Trauma

Advanced Viscoelastic Testing in Trauma and Transfusion Management

Activity Details
  • Credit Amounts:
    • CME: 2.00
    • Other: 2.00
  • Cost: Free
  • Release: Apr 28, 2015
  • Expires: Apr 27, 2018
  • Estimated Time to Complete:
    2 Hour(s)
  • Average User Rating:
    (6 Ratings)


Andrew C.  Bernard Andrew C. Bernard, MD, FACS
Professor of Surgery
Paul A. Kearney, MD, Endowed Chair in Trauma Surgery
Trauma Medical Director
Division of General Surgery, Department of Surgery
University of Kentucky College of Medicine
Lexington, Kentucky

Michael Cripps Michael Cripps, MD
Assistant Professor of Surgery
Department of Surgery, Division of Burn/Trauma/Critical Care
The University of Texas Southwestern Medical Center at Dallas
Dallas, Texas

Martin A.  Schreiber Martin A. Schreiber, MD, FACS
Chief of Trauma Critical Care and Acute Care
Professor of Surgery
Department and Division of Surgery
Oregon Health and Science University
Portland, Oregon

Needs Statement

Massive transfusion protocols (MTPs) represent the standard of care for treatment of hemorrhage in severely injured patients. The American College of Surgeons Trauma quality Improvement Program has established guidelines for MTPs and they include guidelines for the use of viscoelastic (whole blood coagulation/point of care) testing.  Specifically, thresholds and targets for transfusion of certain blood products, reduction of wastage and termination of MTPs can all be achieved using this technology. Trauma surgeons, anesthetists, blood bankers, advanced practice providers, nurses and  other staff involved in the care of severely injured and bleeding patients should familiarize themselves with this technology and consider implementing it in their center.

Target Audience

MDs, RNs, Blood Bank and Lab Technicians


At the end of this session, you should be able to:

  • Describe the epidemiology and  etiology of coagulopathy
  • Discuss acute traumatic coagulopathy
  • Review the science of thromboelastometry
  • Contrast TEG and ROTEM vs. conventional  parameters
  • Summarize the utility of thromboelastometry 


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and Eastern Association for the Surgery of Trauma. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 2.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge

UK Healthcare CECentral certifies this activity for 2.00 hours of participation.

Faculty Disclosure

No speaker, planners or content reviewer have any relevant financial relationships to disclose. No speaker will discuss the off-label use of a product.
Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


This activity is jointly provided by the University of Kentucky and Eastern Association for the Surgery of Trauma.