Ellenberger C, et al. - This study compared rotational elastometry (ROTEM) to standard coagulation tests (SCTs) in terms of ability to identify hemostatic disturbances and to predict the need for transfusion in patients undergoing emergent neurosurgery. Findings demonstrated that valid markers of early coagulopathy and predictors of blood transfusion requirements were afforded by ROTEM analysis in patients undergoing emergent neurosurgery.