Introduction
viscoelastic coagulation, bleeding
CLOT, BLEEDING, BLOOD CLOT, CLOT
Several guidelines recommend applying viscoelastic coagulation tests to guide transfusions and the administration of coagulation factors in cases of severe bleeding [Consequently, we developed the Visual Clot technology to simplify the visualization of viscoelastic test results. This animated, 3D blood clot illustrates raw TEG and ROTEM data while considering user-centered and situation-awareness design aspects. Visual Clot displays various clot components as present or absent based on empirical TEG and ROTEM cutoff values without taking the final decision away from the user. In an earlier prospective, computer-based study, Visual Clot supported anesthesia and intensive care physicians in Germany and Switzerland by improving their therapeutic choices in simulated coagulation management scenarios. In addition, physicians made decisions faster, had more confidence in the selected therapy, and experienced less workload while managing hypothetical bleeding scenarios [Here we apply this new technology for the first time in a high-fidelity simulation environment, a valuable way to test a noncertified product very close to clinical reality [