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Int J Crit Illn Inj Sci. 2011 Jan;1(1):66-72. doi: 10.4103/2229-5151.79285.

Damage control in the injured patient.

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Department of Surgery, University of Washington, Harborview Medical Center, 325 Ninth Avenue, Box 359796, Seattle, WA 98104, USA.


The damage control concept is an essential component in the management of severely injured patients. The principles in sequence are as follows: (1) abbreviated surgical procedures limited to haemorrhage and contamination control; (2) correction of physiological derangements; (3) definitive surgical procedures. Although originally described in the management of major abdominal injuries, the concept has been extended to include thoracic, vascular, orthopedic, and neurosurgical procedures, as well as anesthesia and resuscitative strategies.


Damage control; management; principles; surgery; trauma

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