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Damage control resuscitation: history, theory and technique
1From the University of Calgary and Foothills Medical Centre, Calgary, Alta.
Canadian Journal of Surgery. Journal Canadien De Chirurgie
|January 28, 2014
Summary
Damage control resuscitation (DCR) evolves damage control surgery by prioritizing early blood transfusion and hemorrhage control. This approach combats trauma-induced coagulopathy and stabilizes patients, avoiding excessive fluid resuscitation.
Area of Science:
- Trauma surgery
- Resuscitation strategies
- Hemorrhage management
Background:
- Damage control resuscitation (DCR) is an evolution of damage control surgery.
- It addresses critical care challenges in severely injured patients.
Purpose of the Study:
- To review the detailed concepts of damage control resuscitation.
- To highlight its application in trauma and complex injuries.
Main Methods:
- Review of existing literature and clinical concepts.
- Discussion of DCR components: early transfusion, hemorrhage control, volume restoration.
- Application in specific anatomical regions.
Main Results:
- DCR effectively manages early coagulopathy of trauma.
- It prevents massive crystalloid resuscitation and its complications.
- It is applicable to injuries in transition zones and extremities.
Conclusions:
- Damage control resuscitation is a vital strategy for improving outcomes in trauma patients.
- It optimizes resuscitation by focusing on blood products and hemorrhage control.
- The principles of DCR are adaptable to diverse and severe injury patterns.
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