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Can J Surg. 2014 Feb;57(1):55-60.

Damage control resuscitation: history, theory and technique.

Author information

1
From the University of Calgary and Foothills Medical Centre, Calgary, Alta.

Abstract

Damage control resuscitation (DCR) represents the natural evolution of the initial concept of damage control surgery. It currently includes early blood product transfusion, immediate arrest and/or temporization of ongoing hemorrhage (i.e., temporary intravascular shunts and/or balloon tamponade) as well as restoration of blood volume and physiologic/hematologic stability. As a result, DCR addresses the early coagulopathy of trauma, avoids massive crystalloid resuscitation and leaves the peritoneal cavity open when a patient approaches physiologic exhaustion without improvement. This concept also applies to severe injuries within anatomical transition zones as well as extremities. This review will discuss each of these concepts in detail.

PMID:
24461267
PMCID:
PMC3908997
DOI:
10.1503/cjs.020312
[Indexed for MEDLINE]
Free PMC Article

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