Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comment
. 2023 Sep 1;95(3):e19-e21.
doi: 10.1097/TA.0000000000003941. Epub 2023 Aug 23.

Serial "death diamond" TEGs are a bedside indicator of futile resuscitation during massive transfusion

Ernest E Moore, Hunter B Moore, Scott G Thomas, Michael S Farrell, Sherry Sixta, Julia R Coleman, Joseph B Miller, Connor M Bunch, Dan Waxman, Mark M Walsh
Comment

Serial "death diamond" TEGs are a bedside indicator of futile resuscitation during massive transfusion

Ernest E Moore et al. J Trauma Acute Care Surg. .

Abstract

Serial DDs could serve as rapid check points to gauge the likelihood of success of continued resuscitation. Loudon et al.’s work combined with the use of serial DDs may serve as building blocks toward a trial using VETs to predict continued futile resuscitation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Schematic of an rTEG DD tracing. It has previously been demonstrated an index DD tracing portends near 100% mortality with TMA ≤14 minutes from the start of the test and TTL <30 minutes from the maximum amplitude. TMA, time to maximum amplitude; TTL, time to total lysis.
See this image and copyright information in PMC

Comment in

  • Response to Moore and Colleagues.
    Loudon AM, Rushing AP, Hue JJ, Moorman ML. Loudon AM, et al. J Trauma Acute Care Surg. 2023 Sep 1;95(3):e21-e22. doi: 10.1097/TA.0000000000003986. Epub 2023 Apr 30. J Trauma Acute Care Surg. 2023. PMID: 37125947 No abstract available.

Comment on

References

    1. Loudon AM, Rushing AP, Hue JJ, Ziemak A, Sarode AL, Moorman ML. When is enough enough? Odds of survival by unit transfused. J Trauma Acute Care Surg. 2023;94(2):205–211. - PubMed
    1. Chapman MP Moore EE Moore HB Gonzalez E Morton AP Chandler J, et al. . The "death diamond": rapid thrombelastography identifies lethal hyperfibrinolysis. J Trauma Acute Care Surg. 2015;79(6):925–929. - PMC - PubMed
    1. Farrell MS Moore EE Thomas AV Coleman JR Thomas S Vande Lune S, et al. . "Death Diamond" tracing on Thromboelastography as a marker of poor survival after trauma. Am Surg. 2022;88(7):1689–1693. - PubMed
    1. Van Gent JM Clements TW Lubkin DT Wade CE Cardenas JC Kao LS, et al. . Predicting futility in severely injured patients: using arrival lab values and physiology to support evidence-based resource stewardship. J Am Coll Surg. 2023;236(4):874–880. - PubMed
    1. Moore EE Knudson MM Burlew CC Inaba K Dicker RA Biffl WL Malhotra AK Schreiber MA Browder TD Coimbra R Gonzalez EA Meredith JW Livingston DH Kaups KL, WTA Study Group . Defining the limits of resuscitative emergency department thoracotomy: a contemporary Western Trauma Association perspective. J Trauma. 2011;70(2):334–339. - PubMed