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Major trauma: assessment and initial management

  • NICE guideline
  • Reference number: NG39
  • Published:  17 February 2016
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Research recommendations coming out of this guidance

  • Point-of-care coagulation testing:- What is the clinical and cost effectiveness of point-of-care coagulation testing using rotational thromboelastometry (ROTEM) or thromboelastography (TEG) to target treatment, compared with standard laboratory coagulation testing?

  • Lactate level for monitoring severity of shock:- Is lactate monitoring in patients with major trauma clinically and cost effective?

  • Morphine compared with ketamine for first-line management of pain:- Is morphine clinically and cost effective compared with ketamine for first-line pharmacological pain management (in both pre-hospital and hospital settings) in patients with major trauma?

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