Pre-labeled laboratory syringe bundles increase compliance with institutional thromboelastography ordering guidelines

Abstract

aortic dissections was the critical care unit in the majority (n = 12, 67%) of centres, with 5 centres preferring theatre (28%). There was agreement from respondents that guidelines regarding the transfer of acute Type A aortic dissection patients would be beneficial.Discussion: This survey of UK cardiac centres shows that the majority of centres already centralise treatment of Type A aortic dissection patients by sharing responsibilities. Furthermore, it reflects the observation by the majority of ACTACC link persons that there may be room for improvement of a timely diagnosis, transfer times, monitoring, and training and experience of escorting personnel. In the future a national prospective audit of acute Type A dissection cases in the UK will be necessary to further assess timely diagnoses and quality of transfer-related variables in individual patients with the view of elucidating how to potentially reduce the high incidence of pre-hospital deaths of patients with acute Type A aortic dissection. This survey was conducted before the COVID-19 pandemic. A future audit would help to assess NHS treatment of acute Type A aortic dissections after the pandemic peak.References: Mahase E. Half of patients with acute aortic dissection in England die before reaching a specialist centre. Brit Med J 2020; 368:m304.