Clin Exp Emerg Med.
2020 Mar;7(1):5-13. 10.15441/ceem.19.089.
Damage control resuscitation
- Affiliations
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- 1Department of Emergency Medicine, Institute of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA
- 2Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
- 3Program in Trauma, Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA
- 4Program in Trauma, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA
- KMID: 2500365
- DOI: http://doi.org/10.15441/ceem.19.089
Abstract
- The United States Navy originally utilized the concept of damage control to describe the process of prioritizing the critical repairs needed to return a ship safely to shore during a maritime emergency. To pursue a completed repair would detract from the goal of saving the ship. This concept of damage control management in crisis is well suited to the care of the critically ill trauma patient, and has evolved into the standard of care. Damage control resuscitation is not one technique, but, rather, a group of strategies which address the lethal triad of coagulopathy, acidosis, and hypothermia. In this article, we describe this approach to trauma resuscitation and the supporting evidence base.
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