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Standardized Hemorrhagic Shock Induction Guided by Cerebral Oximetry and Extended Hemodynamic Monitoring in Pigs
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Resuscitation for Hypovolemic Shock.

Kyle J Kalkwarf1, Bryan A Cotton1

  • 1Department of Surgery, University of Texas, McGovern Medical School at UTHealth, 6431 Fannin Street, MSB 4.286, Houston, TX 77030, USA.

The Surgical Clinics of North America
|November 15, 2017
PubMed
Summary
This summary is machine-generated.

Hemorrhage causes the most preventable trauma deaths. Damage control resuscitation, using limited fluids and balanced blood transfusion, guides treatment for hypovolemic shock to improve survival.

Keywords:
CoagulopathyDamage control resuscitationHemorrhagic shockMassive transfusionTraumaVisoelastic hemostatic assays

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Area of Science:

  • Trauma critical care
  • Hemorrhagic shock management

Background:

  • Hemorrhage is a primary cause of mortality in trauma patients.
  • Effective resuscitation strategies are crucial for survival.

Purpose of the Study:

  • To review the history and principles of damage control resuscitation.
  • To outline adjuncts for managing massive hemorrhage.

Main Methods:

  • Historical overview of hemorrhagic shock resuscitation.
  • Discussion of damage control resuscitation principles.

Main Results:

  • Damage control resuscitation involves permissive hypotension.
  • It includes limited crystalloid, balanced blood component transfusion, and preventing hypothermia.

Conclusions:

  • Damage control resuscitation is key for massively bleeding trauma patients.
  • Rapid control of bleeding and appropriate resuscitation are vital.