{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T00:26:37Z","timestamp":1782174397690,"version":"3.54.5"},"reference-count":41,"publisher":"BMJ","issue":"Suppl 1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"unspecified","delay-in-days":29,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Dr. Kenneth Mattox","award":["Dr. Kenneth Mattox provided funding for presentati"],"award-info":[{"award-number":["Dr. Kenneth Mattox provided funding for presentati"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Trauma Surg Acute Care Open"],"accepted":{"date-parts":[[2026,2,21]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>Viscoelastic testing is an old but evolving technology that is commonly used in the management of trauma patients. Unlike conventional coagulation studies that provide information on specific parts of the clotting process, viscoelastic testing gives a more global view of clotting. The two currently used forms of viscoelastic testing are rotational thromboelastometry (ROTEM) and thromboelastography (TEG). This review will outline the history, technical aspects, and clinical data for ROTEM and TEG in the context of managing traumatic injury.<\/jats:p>","DOI":"10.1136\/tsaco-2026-002241","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:00:18Z","timestamp":1777550418000},"page":"e002241","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Precision hemostasis: how viscoelastic testing guides real-time decision-making in trauma"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2137-1834","authenticated-orcid":false,"given":"Alexandra M P","family":"Brito","sequence":"first","affiliation":[{"name":"Surgical Critical Care, Oregon Health & Science University, Portland, Oregon, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4430-6779","authenticated-orcid":false,"given":"Martin A","family":"Schreiber","sequence":"additional","affiliation":[{"name":"Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"2026043005001121000_11.Suppl_1.e002241.1","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1097\/TA.0000000000004170","article-title":"Trauma-induced coagulopathy: What you need to know","volume":"96","author":"Buzzard","year":"2024","journal-title":"J Trauma Acute Care Surg"},{"key":"2026043005001121000_11.Suppl_1.e002241.2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.12"},{"key":"2026043005001121000_11.Suppl_1.e002241.3","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1097\/XCS.0000000000000086","article-title":"Impact of Incorporating Whole Blood into Hemorrhagic Shock Resuscitation: Analysis of 1,377 Consecutive Trauma Patients Receiving Emergency-Release Uncrossmatched Blood Products","volume":"234","author":"Brill","year":"2022","journal-title":"J Am Coll Surg"},{"key":"2026043005001121000_11.Suppl_1.e002241.4","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1097\/TA.0000000000004327","article-title":"Whole blood resuscitation for injured patients requiring transfusion: A systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma","volume":"97","author":"Meizoso","year":"2024","journal-title":"J Trauma Acute Care Surg"},{"key":"2026043005001121000_11.Suppl_1.e002241.5","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5049.144647"},{"key":"2026043005001121000_11.Suppl_1.e002241.6","doi-asserted-by":"publisher","DOI":"10.1007\/BF01697545"},{"key":"2026043005001121000_11.Suppl_1.e002241.7","unstructured":"Hardaway R . Blood coagulation management. In: Clinical management of shock. Charles C. Thomas Publisher, Springfield, IL. 1968."},{"key":"2026043005001121000_11.Suppl_1.e002241.8","doi-asserted-by":"publisher","DOI":"10.1002\/ajh.23599"},{"key":"2026043005001121000_11.Suppl_1.e002241.9","doi-asserted-by":"crossref","DOI":"10.1155\/2015\/437695","article-title":"The inflammatory actions of coagulant and fibrinolytic proteases in disease","volume":"2015","author":"Schuliga","year":"2015","journal-title":"Mediators Inflamm"},{"key":"2026043005001121000_11.Suppl_1.e002241.10","unstructured":"Shaydakov ME , Sigmon DF , Blebea J . Thromboelastography. In: StatPearls. StatPearls Publishing, Treasure Island (FL). 2025."},{"key":"2026043005001121000_11.Suppl_1.e002241.11","unstructured":"Nickson C . Thromboelastogram (TEG). Life in the fast lane. LITFL. 2019. 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