Canadian journal of surgery. Journal canadien de chirurgie
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Damage control resuscitation (DCR) represents the natural evolution of the initial concept of damage control surgery. It currently includes early blood product transfusion, immediate arrest and/or temporization of ongoing hemorrhage (i.e., temporary intravascular shunts and/or balloon tamponade) as well as restoration of blood volume and physiologic/hematologic stability. ⋯ This concept also applies to severe injuries within anatomical transition zones as well as extremities. This review will discuss each of these concepts in detail.