• José Osvaldo Barbosa Neto, Marcos Fernando Breda de Moraes, Ricardo Souza Nani, Joel Avancini Rocha Filho, and Maria José Carvalho Carmona.
• Anesthesiologist at Department of Anesthesia, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. osvbarbosa@yahoo.com.br
• Braz J Anesthesiol. 2013 Jan 1;63(1):99-102.

Background And ObjectivesThe aim of this paper is to report a case in which the damage control resuscitation (DCR) approach was successfully used to promote hemostatic resuscitation in a polytraumatized patient with severe hemorrhagic shock.Case ReportFemale patient, 32 years of age, with severe hemorrhagic shock due to polytrauma with hip fracture, who developed acidosis, coagulopathy, and hypothermia. During fluid resuscitation, the patient received blood products transfusion of fresh frozen plasma/packed red blood cells/platelet concentrate at a ratio of 1:1:1 and evolved intraoperatively with improvement in perfusion parameters without requiring vasoactive drugs. At the end of the operation, the patient was taken to the intensive care unit and discharged on the seventh postoperative day.ConclusionThe ideal management of traumatic hemorrhagic shock is not yet established, but the rapid control of bleeding and perfusion recovery and well-defined therapeutic protocols are fundamental to prevent progression of coagulopathy and refractory shock.Copyright © 2013 Elsevier Editora Ltda. All rights reserved.

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