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  • Title: Damage Control Resuscitation In Trauma.
    Author: Kaafarani HM, Velmahos GC.
    Journal: Scand J Surg; 2014 Jun; 103(2):81-88. PubMed ID: 24777616.
    Abstract:
    INTRODUCTION: Most preventable trauma deaths are due to uncontrolled hemorrhage. METHODS: In this article, we briefly describe the pathophysiology of the classical triad of death in trauma, namely, acidosis, hypothermia, and coagulopathy, and then suggest damage control resuscitation strategies to prevent and/or mitigate the effects of each in the bleeding patient. RESULTS: Damage control resuscitation strategies include body rewarming, restrictive fluid administration, permissive hypotension, balanced blood product administration, and the implementation of massive transfusion protocols. CONCLUSION: Resuscitating and correcting the coagulopathy of the exsanguinating trauma patient is essential to improve chances of survival.
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