WebAug 1, 2014 · Over the last 10 yr, a new addition to the damage control paradigm has emerged, referred to as damage control resuscitation (DCR). This focuses on initial hypotensive resuscitation and... WebDamage control resuscitation (DCR) is an effort to understand the metabolic response to trauma and what measures can be implemented to improve this physiological deterioration. The concept of DCR evolved from the principles of damage control surgery 5.
Damage control resuscitation: lessons learned. - Europe PMC
WebJ Am Coll Surg. 2024 Aug;225 (2):200-209. Rationale for inclusion: Damage control laparotomy rates of 30% are documented and there is substantial morbidity associated with the open abdomen. The purpose of this quality improvement (QI) project was to decrease the rate of DCL at a busy, Level I trauma center in the US. The primary objectives of the initial laparotomy are haemorrhage control, limitation of contamination (and subsequent secondary inflammatory response), and temporary abdominal wall closure. All of this is done by the most expedient means possible and aims to restore physiology at the expense of … See more Over the last two decades, public health measures and better pre-hospital care have led to an increasing number of seriously injured patients surviving their initial accident and arriving in hospital.1These … See more Appropriate patient selection for DCS is critical. Attempts at primary definitive surgical management in patients with severe physiological compromise will almost inevitably … See more Stone and colleagues were the first to describe a technique of ‘truncated laparotomy’ for patients with clinically evident coagulopathy and retrospectively reviewed its efficacy in 1983.3 A decade later, Rotondo and … See more Damage control part zero is the earliest phase of the damage control process. It occurs in the pre-hospital setting and continues into the emergency department. The emphasis is on injury pattern recognition (to … See more ghena written update 5 april 2022
Trauma Resuscitation - The Eastern Association for the Surgery …
WebIn MT patients, it is crucial to practice damage control resuscitation and to administer blood products early in the resuscitation. Trauma patients are often admitted with early trauma-induced coagulopathy (ETIC), which is associated with mortality; the aetiology of ETIC is likely multifactorial. WebJan 2, 2024 · Intravenous fluid resuscitation should be de-escalated as early as possible, and high continuing fluid input should be prompt review by a senior clinician 18. Omitting/optimising medications. ... Damage control surgery. Although typically associated with trauma patients, some of the elements of damage control surgery are equally … gh employer\u0027s