Viscoelastic haemostatic assays and fibrinogen in paediatric acute traumatic coagulopathy: A comprehensive review.

Objective: Haemorrhage in paediatric trauma remains a significant cause of morbidity and mortality. Over recent years there has been increasing attention to the role of fibrinogen in traumatic haemorrhage and the association of low fibrinogen levels with poor patient outcomes. In addition, there has been a move towards using viscoelastic haemostatic assays (VHAs) to rapidly assess coagulation status and guide clinicians in the replacement of coagulation factors, including fibrinogen.

Paediatric clinical ethics in Australia and New Zealand: a survey.

Objectives: To quantify the presence, purpose, function, governance and funding of clinical ethics services (CES) in tertiary paediatric hospitals in Australia and New Zealand.

Design Setting And Participants: A descriptive, quantitative survey was conducted across eight paediatric hospitals.

Main Outcome Measures: Responses from survey questions on the presence, purpose, function, governance and funding of the CES.