Damage Control Resuscitation

The early recognition and management of hemorrhage shock are among the most difficult tasks challenging the clinician during primary assessment of the acutely bleeding patient. Often with little time, within a chaotic setting, and without sufficient clinical data, a decision must be reached to begin transfusion of blood components in massive amounts. The practice of massive transfusion has advanced considerably and is now a more complete and, arguably, more effective process. This new therapeutic paradigm, referred to as damage control resuscitation (DCR), differs considerably in many important respects from previous management strategies for catastrophic blood loss.

Source: Blood Reviews - January 17, 2015 Category: Hematology Authors: Timothy H. Pohlman, Mark Walsh, John Aversa, Emily M. Hutchison, Kristen P. Olsen, R. Lawrence Reed Tags: Review Source Type: research