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Adaptation of Military Damage Control in Civilian Settings

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Damage Control in Trauma Care

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Abstract

Damage control techniques originated during battlefield experience millennia ago. In the early twentieth century, damage control was utilized to limit hemorrhage from liver injuries. Since then damage control has evolved to include damage control surgery and damage control resuscitation in the military setting, which has been translated and integrated into civilian trauma and emergency general surgery practice. Application of damage control techniques in the military and civilian settings has been studied extensively. Damage control resuscitation in particular has made rapid and marked progress in the past 20 years. Hemostatic resuscitation became common practice in the military during modern Iraq and Afghanistan conflict. This led to application and study in the civilian setting. Differences between military and civilian settings include austere military environments, limited resources, and complex evacuation requirements. Future application of damage control in the civilian setting requires integration and collaboration between the military and civilian sectors.

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Abbreviations

DC:

Damage control

DCR:

Damage control resuscitation

DCS:

Damage control surgery

OEF/OIF:

Operation Iraqi Freedom/Operation Enduring Freedom

PROMMTT:

Prospective, Observational, Multicenter, Major Trauma Transfusion

PROPPR:

Pragmatic Randomized Optimal Platelet and Plasma Ratios

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Acknowledgments

The authors would like to thank the staff of the Trauma Research Laboratory at Oregon Health & Science University.

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Authors and Affiliations

  1. Division of Trauma, Critical Care, and Acute Care Surgery, Oregon Health and Science University, Portland, OR, USA

    Kelly A. Fair M.D.

  2. Division of Trauma, Critical Care and Acute Care Surgery, School of Medicine, Oregon Health and Science University, Portland, OR, USA

    Martin A. Schreiber M.D.

Authors
  1. Kelly A. Fair M.D.
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  2. Martin A. Schreiber M.D.
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Corresponding authors

Correspondence to Kelly A. Fair M.D. or Martin A. Schreiber M.D. .

Editor information

Editors and Affiliations

  1. Tulane School of Medicine, New Orleans, Louisiana, USA

    Juan Duchesne

  2. LAC+USC Medical Center, University of Southern California, Los Angeles, California, USA

    Kenji Inaba

  3. St Mary’s Hospital, Imperial College Healthcare NHS Trust, London, United Kingdom

    Mansoor Ali Khan

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Fair, K.A., Schreiber, M.A. (2018). Adaptation of Military Damage Control in Civilian Settings. In: Duchesne, J., Inaba, K., Khan, M. (eds) Damage Control in Trauma Care. Springer, Cham. https://doi.org/10.1007/978-3-319-72607-6_5

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  • DOI: https://doi.org/10.1007/978-3-319-72607-6_5

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-72607-6

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