• J M Jiménez Vizuete, J M Pérez Valdivieso, R Navarro Suay, M Gómez Garrido, J A Monsalve Naharro, and R Peyró García.
• Servicio de Anestesiología y Cuidados Críticos, Hospital General Universitario, Albacete, España.
• Rev Esp Anestesiol Reanim. 2012 Jan 1;59(1):31-42.

AbstractSevere trauma is the principle cause of death among young people in developed countries, with the main causes being due to road traffic accidents and accidents at work. The principle cause of death in severe trauma is the massive uncontrolled loss of blood. Most of the severe traumas with a massive haemorrhage develop coagulopathy, with some controversy over what is the best treatment for this. Patients with severe trauma are complex patients; they have a high mortality, they consume a significant amount of sources and can require rapid, intensive and multidisciplinary treatment encompassed within the concept of resuscitation damage control. In this article we attempt to present a current view of the pathophysiology of severe trauma and resuscitation damage control that may be applied to these types of patients.Copyright © 2012 Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor. Published by Elsevier España. All rights reserved.

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