Damage control resuscitation

The United States Navy originally utilized the concept of damage control to describe the process of prioritizing the critical repairs needed to return a ship safely to shore during a maritime emergency. To pursue a completed repair would detract from the goal of saving the ship. This concept of dama...

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Main Authors: Evan Leibner, Mark Andreae, Samuel M. Galvagno, Thomas Scalea
Format: Article
Language:English
Published: The Korean Society of Emergency Medicine 2020-03-01
Series:Clinical and Experimental Emergency Medicine
Subjects:
Online Access:http://www.ceemjournal.org/upload/pdf/ceem-19-089.pdf
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author Evan Leibner
Mark Andreae
Samuel M. Galvagno
Thomas Scalea
author_facet Evan Leibner
Mark Andreae
Samuel M. Galvagno
Thomas Scalea
author_sort Evan Leibner
collection DOAJ
description The United States Navy originally utilized the concept of damage control to describe the process of prioritizing the critical repairs needed to return a ship safely to shore during a maritime emergency. To pursue a completed repair would detract from the goal of saving the ship. This concept of damage control management in crisis is well suited to the care of the critically ill trauma patient, and has evolved into the standard of care. Damage control resuscitation is not one technique, but, rather, a group of strategies which address the lethal triad of coagulopathy, acidosis, and hypothermia. In this article, we describe this approach to trauma resuscitation and the supporting evidence base.
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spelling doaj.art-a0e2958b0ad442ef9ad6260baac426cc2023-02-24T04:27:15ZengThe Korean Society of Emergency MedicineClinical and Experimental Emergency Medicine2383-46252020-03-017151310.15441/ceem.19.089261Damage control resuscitationEvan Leibner0Mark Andreae1Samuel M. Galvagno2Thomas Scalea3 Department of Emergency Medicine, Institute of Critical Care Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA Department of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA Program in Trauma, Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, MD, USA Program in Trauma, Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USAThe United States Navy originally utilized the concept of damage control to describe the process of prioritizing the critical repairs needed to return a ship safely to shore during a maritime emergency. To pursue a completed repair would detract from the goal of saving the ship. This concept of damage control management in crisis is well suited to the care of the critically ill trauma patient, and has evolved into the standard of care. Damage control resuscitation is not one technique, but, rather, a group of strategies which address the lethal triad of coagulopathy, acidosis, and hypothermia. In this article, we describe this approach to trauma resuscitation and the supporting evidence base.http://www.ceemjournal.org/upload/pdf/ceem-19-089.pdfwounds and injuriesadvanced trauma life support careresuscitationblood transfusionplatelet transfusionblood component transfusioninfusions, intravenoustranexamic aciddisorders, blood coagulationtrauma, resuscitation, permissive hypotensi
spellingShingle Evan Leibner
Mark Andreae
Samuel M. Galvagno
Thomas Scalea
Damage control resuscitation
Clinical and Experimental Emergency Medicine
wounds and injuries
advanced trauma life support care
resuscitation
blood transfusion
platelet transfusion
blood component transfusion
infusions, intravenous
tranexamic acid
disorders, blood coagulation
trauma, resuscitation, permissive hypotensi
title Damage control resuscitation
title_full Damage control resuscitation
title_fullStr Damage control resuscitation
title_full_unstemmed Damage control resuscitation
title_short Damage control resuscitation
title_sort damage control resuscitation
topic wounds and injuries
advanced trauma life support care
resuscitation
blood transfusion
platelet transfusion
blood component transfusion
infusions, intravenous
tranexamic acid
disorders, blood coagulation
trauma, resuscitation, permissive hypotensi
url http://www.ceemjournal.org/upload/pdf/ceem-19-089.pdf
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AT samuelmgalvagno damagecontrolresuscitation
AT thomasscalea damagecontrolresuscitation