Damage Control Resuscitation



Treatment of active hemorrhage, hemorrhagic shock, and prevention of re-bleeding is the name of your game in combat trauma. There are two big killers on the battlefield: severe brain injury and hemorrhage. You can’t do a lot about the former, but through preparation and attention to detail you can significantly impact the latter. Assume every injured patient you receive has active bleeding until proven otherwise. Look at your watch when the patient arrives, and keep that ticking clock in mind during your initial trauma evaluation and resuscitation. The whole philosophy of damage control resuscitation (DCR) can be summarized by the observation that “Patients bleed warm whole blood, not just red cells. Therefore we should replace this with warm whole blood or the equivalent, not cold and coagulopathic packed red blood cells, starting from minute one of the resuscitation.”


Blood Product Blood Bank Massive Transfusion Recombinant Factor VIIa Donor Pool 
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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  1. 1.University of Texas Health Sciences Center at HoustonHoustonUSA

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