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Damage Control Resuscitation: A Narrative Review of Goals, Techniques, and Components
Rachel E Bridwell1, Andrew M Schaffrinna1, Brit Long1
1Department of Emergency Medicine, SAUSHEC, Ft. Sam Houston, TX.
Medical Journal (Fort Sam Houston, Tex.)
|July 12, 2021
Summary
Damage control resuscitation (DCR) improves outcomes in severe trauma by controlling bleeding and providing balanced fluids. Key strategies include fresh whole blood, tranexamic acid, and avoiding crystalloids while managing acidosis, hypothermia, and coagulopathy.
Area of Science:
- Trauma surgery
- Emergency medicine
- Critical care
Background:
- Complex multisystem trauma requires advanced resuscitation strategies.
- Hemorrhage control is paramount in saving lives.
Purpose of the Study:
- To review the principles and importance of Damage Control Resuscitation (DCR).
- To highlight key components of DCR for improved patient outcomes.
Main Methods:
- Review of current literature on Damage Control Resuscitation.
- Emphasis on hemorrhage control, fluid management, and adjunct therapies.
Main Results:
- DCR integrates hemorrhage control and balanced resuscitation.
- Fresh whole blood or component therapy is preferred over crystalloids.
- Tranexamic acid and calcium administration are beneficial.
Conclusions:
- Effective DCR management of acidosis, hypothermia, and coagulopathy is crucial.
- DCR is a vital approach for improving outcomes in severe trauma patients.
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