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Test Code TEGR Thrombelastograph (Rapid)

Clinical Indications

Assessment of coagulation and guidance of transfusion therapy during trauma-induced massive transfusion protocol.

Additional Test Codes

Epic Order Name: Rapid TEG
Sunquest Order Code: RTEG
Epic Px Code: LAB3112

Specimen Collection Type

Blue (Sodium Citrate)

Minimum Collection Volume

Full blue top specimen (filled to line on tube)

Reference Range

TEG ACT: 91-143 sec
ANG: 67-82 deg
MA: 58-78 mm
LY30: 0-4%

Critical Value

N/A

Interpretation

ACT > 128 sec: FFP Indicated
Angle < 65 deg: Cryoprecipitate indicated
MA < 55 mm: Platelets indicated
LY30 < 5%: Tranexamic acid indicated
These transfusion thresholds are not applicable to nontraumatic bleeding.

Rejection Criteria

Improperly filled specimen
Anticoagulant / IV contaminated specimen
Clotted Specimen

Specimen Availability for Add-on Testing

Standard coagulation testing (INR, PTT, Fibrinogen, etc)

Specimen Stability

2 Hours

Day(s) Performed

Monday through Sunday

Performing Lab - Department

TUKHS-BH-Transfusion Service

CPT Code

85347, 85384, 85576, 85390

LOINC Code

48054-1

Test Alias

Rapid TEG

Additional Information / Notes

Rapid TEG is a whole blood assay for assessment of coagulation in bleeding patients.