Combat Damage Control Resuscitation: Today and Tomorrow

Abstract

Damage control resuscitation is the resuscitation of the massively hemorrhaging patient to restore physiology and optimize hemostasis with the overall goal of increasing patient survival. Damage control resuscitation is most often used with damage control surgery. In addition to the transfusion of blood components to optimize hemostasis, the concept of "permissive" hypotension is used to decrease the bleeding from uncontrolled bleeding points, the patient is warmed to avoid the coagulopathic effects of hypothermia, and severe acidosis is treated in an attempt to avoid coagulopathic and physiologic deterioration. The future of damage control resuscitation will most likely involve the refinement and customization of blood components for the individual patient and application of the principles of damage control resuscitation in the prehospital arena.

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Document Details

Document Type
Technical Report
Publication Date
Apr 01, 2010
Accession Number
ADA581790

Entities

People

  • Lorne H Blackbourne

Organizations

  • United States Army Institute of Surgical Research

Tags

DTIC Thesaurus Topics

  • Acid-Base Imbalance
  • Battlefields
  • Blood
  • Blood Transfusions
  • Body Temperature
  • Brain Injuries
  • Combat Casualty Care
  • Combat Injuries
  • Health Services
  • Hemorrhage
  • Hypothermia
  • Infusions
  • Medical Personnel
  • Patient Care
  • Physiology
  • Therapy

Fields of Study

  • Medicine

Readers

  • Systems Analysis and Design
  • Trauma Surgery or Emergency Medicine.