Damage control resuscitation from major haemorrhage in polytrauma

摘要: Trauma is a global disease that affects patients across the socio-economic spectrum. Uncontrolled major haemorrhage occurs from both blunt and penetrating trauma which may lead to hypovolaemic shock ultimately death. In polytrauma require urgent resuscitation secondary haemorrhage, high volume fluid infusions followed by definitive surgical care have been superseded damage control resuscitation. DCR systematic approach integrates principles of haemostatic resuscitation, permissive hypotension surgery (DCS). The aim aggressively minimise limit development coagulopathy, hypothermia acidosis known as lethal triad. Besides increased volumes scientific knowledge underpin modern techniques upon, patient survival also dependent upon effective teamwork leadership. conclusion, successful depends variety factors distilled into team with leadership, excellent technical non-technical skills well early initiation DCR.