Damage Control Surgery in the Light of a New Paradigm: Damage Control Resuscitation

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

Damage control resuscitation: the new face of damage control.

Juan C. Duchesne, MD, FACS, FCCP, Norman E. McSwain, Jr., MD, FACS, Bryan A. Cotton, MD, FACS, John P. Hunt, MD, MPH, FACS, Jeff Dellavolpe, MD, Kelly Lafaro, MD, MPH, Alan B. Marr, MD, FACS, Earnest A. Gonzalez, MD, FACS, Herb A. Phelan, MD, FACS, Tracy Bilski, MD, FACS, Patrick Greiffenstein, MD, James M. Barbeau, MD, JD, Kelly V. Rennie, MD, Christopher C. Baker, MD, FACS, Karim Brohi, MD, F...

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...

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).

Tactical Damage Control Resuscitation.

Recently the Committee on Tactical Combat Casualty Care changed the guidelines on fluid use in hemorrhagic shock. The current strategy for treating hemorrhagic shock is based on early use of components: Packed Red Blood Cells (PRBCs), Fresh Frozen Plasma (FFP) and platelets in a 1:1:1 ratio. We suggest that lack of components to mimic whole blood functionality favors the use of Fresh Whole Bloo...