Viscoelastic Tests (VET) Versus Conventional Coagulation Tests (CCT) for Management of Trauma-Induced Coagulopathy

Exclusion Criteria

• •Known pregnancy at admission
• •Transfer from another hospital
• •Cardiac arrest before randomization
• •Patient with devastating injuries expected to die within the first hour post-admission
• •Massive head injury with GCS 3 and bilateral mydriasis
• •Pre-hospital transfusion of RBCs unit or coagulation factors concentrates
• •No tranexamic acid before hospital admission
• •Patient with uncontrolled major bleeding on arrival with direct admission to the operating room for rescue surgery
• •Conventional or viscoelastic assay before inclusion/randomization
• •Hypothermia \< 33°C
• •Known use of oral anticoagulants (VKA or DOACs)
• •Known congenital hemostasis abnormality
• •Predictable transfer to another hospital \<12 hours after admission
• •Patients protected by articles L1121-6 and L1121-7 of the Public Health Code, adults subject to legal protection measures
• •Patient not affiliated to a social security scheme
• •Patient included in other interventional study on coagulopathy.