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An Insight into Damage Control Resuscitation and its Application in the Modern Battlefield: A Military Perspective
Shalendra Singh1, Venigalla Sri Krishna2, Deepu K Peter3
1Department of Anaesthesiology and Critical Care, Command Hospital (NC), Udhampur, Jammu and Kashmir, India.
Journal of Emergencies, Trauma, and Shock
|September 26, 2025
Summary
Damage control resuscitation (DCR) is a battlefield strategy for trauma patients. It focuses on hemorrhage control, blood transfusion, and stability to combat acute traumatic coagulopathy and reduce mortality.
Area of Science:
- Trauma Surgery
- Emergency Medicine
- Critical Care Medicine
Background:
- Battlefield resuscitation requires strategies to manage severe trauma.
- Acute traumatic coagulopathy is a major cause of mortality in trauma patients.
- Damage control surgery has evolved, leading to the concept of damage control resuscitation.
Purpose of the Study:
- To review the concept of damage control resuscitation (DCR) for battlefield applications.
- To discuss the implementation of DCR in a combat environment.
- To highlight DCR's role in managing acute traumatic coagulopathy.
Main Methods:
- Review of existing literature and clinical concepts related to DCR.
- Discussion of the components of DCR: hemorrhage control, blood product transfusion, volume restoration, and physiological stabilization.
- Focus on the application of DCR principles in the context of battlefield injuries.
Main Results:
- DCR involves rapid, non-definitive hemorrhage control.
- Early administration of blood products and volume restoration are key components.
- Achieving physiological stability is a primary goal of DCR.
- DCR directly addresses acute traumatic coagulopathy, a leading cause of death.
Conclusions:
- Damage control resuscitation is a critical strategy for modern battlefield trauma care.
- Effective implementation of DCR can significantly improve outcomes for severely injured soldiers.
- DCR aims to mitigate the lethal effects of acute traumatic coagulopathy in combat settings.
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