Curr Trauma Rep (2017) 3:238–248 DOI 10.1007/s40719-017-0096-9 MODERN TRAUMA RESUSCITATION (AW KIRKPATRICK, SECTION EDITOR) Damage Control Resuscitation Across the Phases of Major Injury Care 1 2 1 Paul M. Cantle & DerekJ.Roberts & John B. Holcomb Published online: 31 May 2017 Springer International Publishing AG 2017 Abstract Introduction Purpose of Review Trauma damage control has undergone a recent paradigm shift, broadening its focus from surgery to Trauma is a significant burden to modern society. Worldwide, it resuscitation. This review details central components of dam- remains the leading cause of death for individuals <45 years of age control resuscitation (DCR) across the phases of major age and is the primary source of productive years of life lost . injury care and the evidence behind its adoption. Survivors of injury suffer considerable morbidity and long-term Recent Findings Permissive hypotension, minimization of disability, and as a result, trauma remains associated with sub- crystalloid fluids, and early balanced blood product resuscita- stantial direct and indirect health care costs. Despite this, civil- tion have each been associated with improved outcomes in ian trauma secondary to motor vehicle collisions, falls, work- hemorrhaging patients. These tactics compliment current place accidents, and interpersonal violence remains common strategies
Current Trauma Reports – Springer Journals
Published: May 31, 2017
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