Journal of the Royal Army Medical Corps
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Damage Control Resuscitation (DCR) is a novel concept that draws together a series of technical and organisational advances in combat casualty care. It is consistent with and encapsulates the established concept of damage control surgery (DCS).
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This case is of an 8-year-old child who had a cardiac arrest and an Emergency Department thoracotomy (EDT) following a penetrating fragmentation injury to the chest. The management included damage control resuscitation, recombinant Factor VIIa and a successful emergency department thoracotomy.
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Historical Article
Military intensive care part 1. A historical review.
ICU is a product of clinical developments, technological advances, social changes and history. Military ICU reflects all of these as well as deployed operational experience. Having considered how military ICU got to where it is, the next article will consider current practice.