Damage control strategies in the management of acute injury

S. A. Savage, Timothy Fabian

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Traumatic injury is the leading cause of death worldwide. The rapid evaluation and correction of injuries in these patients is paramount to preventing uncontrolled decompensation and death. Damage control strategies are a compendium of techniques refined over decades of surgical care that focus on the rapid correction of deranged physiology, control of contamination and blood loss, and resuscitation of critical patients. Damage control resuscitation (DCR) focuses on the replacement of lost blood volume in a manner mimicking whole blood, control of crystalloid administration, and permissive hypotension. Damage control laparotomy controls gastrointestinal contamination and bleeding in the operative suite, allowing rapid egress to the intensive care unit for ongoing resuscitation. Pelvic packing, an adjunct to DCR, provides a means to control hemorrhage from severe pelvic fractures. Temporary vascular shunts restore perfusion, while resuscitation and reconstruction are ongoing. Taken together, these strategies provide the trauma surgeon with a powerful arsenal to preserve life in the transition from injury to the shock trauma room to the intensive care unit.

Original languageEnglish (US)
Pages (from-to)143-150
Number of pages8
JournalEuropean Journal of Trauma and Emergency Surgery
Volume40
Issue number2
DOIs
StatePublished - Jan 1 2014

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Resuscitation
Wounds and Injuries
Intensive Care Units
Hemorrhage
Blood Volume
Hypotension
Laparotomy
Blood Vessels
Cause of Death
Shock
Perfusion

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Damage control strategies in the management of acute injury. / Savage, S. A.; Fabian, Timothy.

In: European Journal of Trauma and Emergency Surgery, Vol. 40, No. 2, 01.01.2014, p. 143-150.

Research output: Contribution to journalArticle

Savage, S. A. ; Fabian, Timothy. / Damage control strategies in the management of acute injury. In: European Journal of Trauma and Emergency Surgery. 2014 ; Vol. 40, No. 2. pp. 143-150.
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