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Tactical Damage Control Resuscitation.

Andrew D Fisher1, Ethan A Miles1, Andrew P Cap2

  • 175th Ranger Regiment, 6420 Dawson Loop, Fort Benning, GA 31905.

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|July 31, 2015
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Summary
This summary is machine-generated.

Fresh whole blood transfusion is a safe and effective strategy for managing battlefield hemorrhagic shock, offering a practical alternative to component therapy. This approach, Tactical Damage Control Resuscitation, aims to improve survival rates for combat casualties.

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Area of Science:

  • Military Medicine
  • Trauma Care
  • Emergency Medicine

Background:

  • Current guidelines for hemorrhagic shock favor early use of blood components (Packed Red Blood Cells, Fresh Frozen Plasma, platelets) in a 1:1:1 ratio.
  • Limitations exist in component therapy's ability to fully replicate the hemostatic and oxygen-carrying functions of whole blood.

Purpose of the Study:

  • To propose Fresh Whole Blood (FWB) as a viable alternative to component therapy for managing hemorrhagic shock on the battlefield.
  • To introduce Tactical Damage Control Resuscitation (TDCR) as a safe and practical approach for FWB use at the point of injury.

Main Methods:

  • Description of pre-deployment preparations for FWB utilization.
  • Outline of hemorrhagic shock assessment protocols.
  • Details on the collection and transfusion of FWB at the point of injury within the TDCR framework.

Main Results:

  • The study presents a safe and practical methodology for implementing FWB transfusion in combat environments.
  • TDCR facilitates goal-directed therapy for hemorrhagic shock, potentially extending survivability.

Conclusions:

  • FWB transfusion, guided by TDCR, offers a valuable strategy for managing battlefield hemorrhagic shock.
  • This approach addresses the limitations of component therapy and aims to enhance combat casualty outcomes.