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- W2529492047 abstract "Abstract Major haemorrhage is associated with significant morbidity and mortality. Prompt recognition and resuscitation is key to improving short- and long-term outcomes and survival. Knowledge of mechanism of injury and potential trauma sustained assists identification of life-threatening bleeding. Management of the patient goes beyond the ‘ABCDE’ approach with a series of clinical interventions known as damage control resuscitation addressing complications of major haemorrhage (coagulopathy, hypothermia and acidosis). Investigations are reserved mostly for the haemodynamically stable patient. For unstable patients the operating theatre is the place to achieve haemostasis by endovascular approaches or damage control surgery (DCS). Damage control surgery sacrifices the completeness of the immediate surgical repair and restoration of anatomy in order to adequately address the combined physiological insult of trauma and subsequent surgery. Surgical strategy in a severely traumatised patient should be considered by the multidisciplinary team prior to operating. Regular discussion between the anaesthetist and surgeon allows progress to be reviewed and realistic goals set for initial surgery. Definitive surgery should be delayed until abnormal physiology is corrected." @default.
- W2529492047 created "2016-10-14" @default.
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- W2529492047 date "2016-11-01" @default.
- W2529492047 modified "2023-09-27" @default.
- W2529492047 title "Control of haemorrhage and damage control surgery" @default.
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- W2529492047 doi "https://doi.org/10.1016/j.mpsur.2016.08.010" @default.
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