Damage Control Resuscitation

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Damage Control Resuscitation • Rapid identification: • “smashed / damaged” • ABG & INR on admission • ROTEM / TEG
Damage Control Resuscitation • Rapid identification • Haemostatic resuscitation: • Hypotensive resuscitation • Aggressive re-warming – every drop of fluid through an in-line warmer • 1:1:1 if significant blood transfusion considered
Page 1 and 2: Damage Control Resuscitation H M Ca
Page 3 and 4: Damage Control Resuscitation • Hy
Page 5 and 6: Epidemiology Exanguination : common
Page 7 and 8: Epidemiology Sauaia, Angela MD; Moo
Page 9 and 10: Epidemiology 8 % of Trauma pts Tran
Page 11 and 12: “Hemorrhage, which produces such
Page 13 and 14: The innovation of “Damage Control
Page 15 and 16: Ann. Surg. VOl. 197(5):532-535
Page 17 and 18: The Deadly Triad hypothermia acidos
Page 19 and 20: “Bloody Vicious Cycle” Bleeding
Page 21 and 22: “Bloody Vicious Cycle” Bleeding
Page 23 and 24: Bleeding Resuscitation Coagulopathy
Page 25 and 26: 24.4% coagulopathy on admission Bas
Page 27 and 28: Coagulopathy of Trauma SHOCK / HYPO
Page 29 and 30: Fibrinolysis TRAUMA Coagulation
Page 31 and 32: 1 : 1 : 1
Page 33 and 34: J Trauma. 2007;63:805-813.
Page 35 and 36: Studies recommending higher plasma
Page 37 and 38: J Trauma. 2010;69: 46-52
Page 39 and 40: 24 hrs Heckbert, S R Outcome after
Page 41 and 42: J Trauma. 2002;52:1141-1146. J Trau
Page 43 and 44: Trauma Outcomes • Avoid fluids th
Page 45 and 46: REPLICATE THIS !! NOT AN EXERCISE I
Page 47 and 48: NOT AN EXERCISE IN FUTILITY !! HIGH
Page 49 and 50: The enemy within “DAMAGED” PATI
Page 51: FASEB J. 17, 993-1002 (2003) Time a
Page 55: BLOOD IS THICKER THAN WATER

Damage Control Resuscitation

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