Are We Doing Too Much Damage Control?
Unfortunately, a large proportion of care delivered to trauma patients is not based upon high-quality evidence. Poor external funding of research, difficulty studying emergent interventions, and regulatory burdens create a high burden to overcome to successfully design, implement, and interpret emergent clinical trials. The lack of high-quality evidence for interventions results in variations of practice and outcomes across trauma centers. Damage control techniques have certainly saved lives since their introduction into modern trauma care. However, some of these techniques lack rigorous evidence. Other techniques have high-quality evidence but suffer from a lack of generalizability as resuscitation has dramatically evolved over the last 15 years.
KeywordsDamage control Damage control laparotomy Damage control orthopedics Evidence-based medicine
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