What is true about coagulopathy related to trauma?
A. Acute coagulopathy of trauma is mechanistically similar to DICTraditional teaching regarding trauma-related coagulopathy attributed its development to acidosis, hypothermia, and dilution of coagulation factors. Recent data, however, have shown that over one-third of injured patients has evidence of coagulopathy at the time of admission. More importantly, patients arriving with coagulopathy are at a significantly higher risk of mortality, especially in the first 24 hours after injury. Acute Coagulopathy of trauma is not a simple dilutional coagulopathy but a complex problem with multiple mechanisms. Whereas multiple contributing factors exist, the key initiators to the process of ACoT are shock and tissue injury. ACoT is a separate and distinct process from DIC with its own specific components of hemostatic failure.