ROTEM's utility in guiding resuscitation of traumatic lower extremity fracture patients.

Introduction: Rotational thromboelastometry (ROTEM) is a method for real-time detection of clotting derangements allowing for targeted blood product resuscitation. We sought to determine if coagulopathy profiles differed based on fracture location (comparing pelvic versus tibia and femur fractures), if ROTEM profiles correlated between both total hospital and intensive care unit length of stay (LOS), and if ROTEM profiles correlated with patients undergoing an immediate definitive fixation versus an early damage control approach to care.

Materials And Methods: A retrospective cohort study was performed using data from a level 1 trauma registry database.