Damage control resuscitation: A paradigm shift in the management of haemorrhagic shock

Damage control resuscitation: a paradigm shift in the management of haemorrhagic shock.

Many advances in trauma care have resulted from the treatment of battle casualties by combat medics, military physicians and nurses. A recent example is damage control resuscitation (DCR), which is transforming the care of soldiers with haemorrhagic shock requiring damage control surgery (DCS) in the current conflicts in Iraq and Afghanistan. We believe that these new treatments have applicatio...

Damage control surgery in the light of a new paradigm: damage control resuscitation.

Damage Control Resuscitation: a New Paradigm for Fluid Resuscitation of Severely Injured Soldiers

Recent studies have demonstrated that bleeding disorders are common in the most severely injured trauma patients on admission to the hospital, highlighting the importance of treating this coagulopathy at the earliest stage possible. The concept of damage control resuscitation, which includes hypotensive and hemostatic resuscitation components, was introduced as a new approach to treat these pat...

Fluid resuscitation in haemorrhagic shock in combat casualties

This brief update reviews the recent literature available on fluid resuscitation from hemorrhagic shock and considers the applicability of this evidence for use in resuscitation of combat casualties in the combat casualty care (CCC) environment. A number of changes need to be incorporated in the CCC guidelines: (1) dried plasma (DP) is added as an option when other blood components or whole blo...

Damage control resuscitation.

Damage Control Resuscitation (DCR) is a novel concept that draws together a series of technical and organisational advances in combat casualty care. It is consistent with and encapsulates the established concept of damage control surgery (DCS).