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Miguel Teran: Why ROTEM Will Redefine Major Bleeding Management
Sep 10, 2026, 16:07

Miguel Teran: Why ROTEM Will Redefine Major Bleeding Management

Miguel Teran, Anesthesiologist at Hospital Luis F. Nachón, shared a post on LinkedIn:

”A prediction: in a few years, managing major bleeding without understanding ROTEM will be comparable to practicing medicine without knowing how to read an ECG.

We are moving from fixed transfusion ratios such as 1:1:1 toward individualized, goal-directed hemostatic resuscitation.

ROTEM helps us answer the question that really matters:

What is this patient actually missing?

Fibrinogen?

Coagulation factors?

Platelet contribution?

Is there fibrinolysis?

The goal is no longer simply to transfuse blood products.

The goal is precision hemostasis.”

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