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Combat Damage Control Resuscitation: Today and Tomorrow
ARMY INST OF SURGICAL RESEARCH FORT SAM HOUSTON TX
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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.
APPROVED FOR PUBLIC RELEASE