Damage Control Resuscitation In Trauma

H M A Kaafarani, G C Velmahos
Scandinavian Journal of Surgery: SJS 2014, 103 (2): 81-88

INTRODUCTION: Most preventable trauma deaths are due to uncontrolled hemorrhage.

METHODS: In this article, we briefly describe the pathophysiology of the classical triad of death in trauma, namely, acidosis, hypothermia, and coagulopathy, and then suggest damage control resuscitation strategies to prevent and/or mitigate the effects of each in the bleeding patient.

RESULTS: Damage control resuscitation strategies include body rewarming, restrictive fluid administration, permissive hypotension, balanced blood product administration, and the implementation of massive transfusion protocols.

CONCLUSION: Resuscitating and correcting the coagulopathy of the exsanguinating trauma patient is essential to improve chances of survival.

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