Damage control resuscitation for massive hemorrhage
Hemorrhage is the second most common cause of death among trauma patients and almost half of the deaths occur within 24 hours after arrival. Damage control resuscitation is a new paradigm for patients with massive bleeding. It consists of permissive hypotension, hemostatic resuscitation and tran...
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2014-04-01
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| Series: | Chinese Journal of Traumatology |
| Online Access: | http://www.cjtrauma.com/apps/ojs/index.php/cjt/article/view/514 |
| Summary: | Hemorrhage is the second most common
cause of death among trauma patients and almost half of the deaths occur within 24 hours after arrival. Damage control resuscitation is a new paradigm for patients with massive bleeding. It consists of permissive hypotension,
hemostatic resuscitation and transfusion strategies, and damage control surgery. Permissive hypotension seems to have better results before the bleeding is controlled. The strategy of fluid resuscitation is minimizing crystalloid infusion and increasing early transfusion
Chin J Traumatol 2014;17(2):108-111
Damage control resuscitation for massive hemorrhage with a high ratio of fresh frozen plasma to packed red cells. Damage control surgery is done when the patient’s
condition is unfit for definitive surgery. Hemorrhage and
contamination control with temporary abdominal closure is performed before transferring the patients to intensive
care unit and the operating room for a permanent laparotomy.
Key words: Shock; Hemorrhage; Resuscitation |
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| ISSN: | 1008-1275 |