Damage Control Surgery in the Blast-Injured Patient

  • Travis M. Polk
  • Matthew J. Martin
  • Ronald R. Barbosa


The hallmark dismounted complex blast injury pattern includes multiple amputated or mangled extremities, large perineal and/or pelvic wounds, penetrating truncal injuries, and pelvic fracture. This chapter describes the damage control approach to patients injured by blast or explosive mechanisms and outlines key surgical concepts and lessons learned from the recent high-volume military experiences. A rapid, focused, and team-based approach to the diagnostic workup, resuscitation, and operative intervention is outlined.


Damage control Dismounted complex blast injury Triage Amputation Pelvic fracture Trauma Military Combat 


Conflicts of Interest

The authors have no conflicts of interest to declare and have received no financial or material support related to this manuscript.


The results and opinions expressed in this article are those of the authors and do not reflect the opinions or official policy of the United States Navy, United States Army, the Department of Defense, or any other governmental agency.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Travis M. Polk
    • 1
  • Matthew J. Martin
    • 2
  • Ronald R. Barbosa
    • 3
  1. 1.Department of General SurgeryNaval Medical Center PortsmouthPortsmouthUSA
  2. 2.Madigan Army Medical CenterTacomaUSA
  3. 3.Trauma and Emergency Surgery Service, Legacy Emanuel Medical CenterPortlandUSA

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