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New Technologies for Vascular Injuries and Hemorrhage Control

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Damage Control Management in the Polytrauma Patient

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Abstract

The rapid control of hemorrhage is at the cornerstone of all injury care. In most cases, direct surgical exploration and control of hemorrhage suffices even with large volume blood loss. However, some new advances have given us additional tools that can be quite helpful in selected cases. Binders can reduce the bony elements of the pelvis, reducing pelvic fracture hemorrhage. A number of commercially available hemostatic agents provide direct pressure onto blood vessels and promote clotting. Newer resuscitation strategies stress the use of plasma and platelets early. This balanced resuscitation likely prevents the coagulopathy of trauma instead of treating it.

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Authors and Affiliations

  1. Shock Trauma Center, University of Maryland, Baltimore, MD, USA

    Megan L. Brenner MD & Thomas M. Scalea MD

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  1. Megan L. Brenner MD
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  2. Thomas M. Scalea MD
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Correspondence to Megan L. Brenner MD .

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Editors and Affiliations

  1. Department of Trauma, Zurich University, Zurich, Switzerland

    Hans-Christoph Pape

  2. Division of General Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA

    Andrew B. Peitzman

  3. Department of Surgery, Division of Acute Care Surgery, University of Rochester, Medical Center, Rochester, New York, USA

    Michael F. Rotondo

  4. Department of Academic Trauma & Orthopaedics, University of Leeds, Leeds, West Yorkshire, United Kingdom

    Peter V. Giannoudis

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Brenner, M.L., Scalea, T.M. (2017). New Technologies for Vascular Injuries and Hemorrhage Control. In: Pape, HC., Peitzman, A., Rotondo, M., Giannoudis, P. (eds) Damage Control Management in the Polytrauma Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-52429-0_12

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