Rotational thromboelastometry significantly optimizes transfusion practices for damage control resuscitation in combat casualties

BACKGROUNDUp to 40% of combat casualties with a truncal injury die of massive hemorrhage before reaching a surgeon. This hemorrhage can be prevented with damage control resuscitation (DCR) methods, which are focused on replacing shed whole blood by empirically transfusing blood components in a 1:1:1