• Scand J Surg · Jun 2014

    Review

    Damage Control Resuscitation In Trauma.

    • H M A Kaafarani and G C Velmahos.
    • Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital & Harvard Medical School, Boston, MA, USA hkaafarani@partners.org.
    • Scand J Surg. 2014 Jun 1; 103 (2): 81-88.

    IntroductionMost preventable trauma deaths are due to uncontrolled hemorrhage.MethodsIn this article, we briefly describe the pathophysiology of the classical triad of death in trauma, namely, acidosis, hypothermia, and coagulopathy, and then suggest damage control resuscitation strategies to prevent and/or mitigate the effects of each in the bleeding patient.ResultsDamage control resuscitation strategies include body rewarming, restrictive fluid administration, permissive hypotension, balanced blood product administration, and the implementation of massive transfusion protocols.ConclusionResuscitating and correcting the coagulopathy of the exsanguinating trauma patient is essential to improve chances of survival.© The Finnish Surgical Society 2014.

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