Alone and Sometimes Unafraid: Military Perspective on Forward Damage Control Resuscitation on the Modern Battlefield

被引:0
|
作者
Nam, Jason J. [1 ,2 ]
McLeroy, Robert D. [2 ,3 ]
Fisher, Andrew D. [4 ,5 ,6 ]
机构
[1] US Army Special Operat Command, 528th Sustainment Brigade SO A, Ft Bragg, NC 28310 USA
[2] Uniformed Serv Univ Hlth Sci, Dept Med, Room A3060, Bethesda, MD 20814 USA
[3] Walter Reed Natl Mil Med Ctr, Dept Med, Div Pulm & Crit Care, Bethesda, MD USA
[4] Texas A&M Coll Med, Temple, TX USA
[5] Texas Army Natl Guard, Med Command, Austin, TX USA
[6] Prehosp Res Mil & Expeditionary Environm PRIME2, San Antonio, TX USA
关键词
Combat trauma; Operational medicine; Hemorrhagic shock; Damage control resuscitation; Austere medicine; FRESH WHOLE-BLOOD; RECEIVING MASSIVE TRANSFUSIONS; ENDOVASCULAR BALLOON OCCLUSION; OPERATION-ENDURING-FREEDOM; TRANEXAMIC ACID; IMPROVED SURVIVAL; APHERESIS PLATELETS; TRAUMA PATIENTS; COMBAT TRAUMA; IRAQI-FREEDOM;
D O I
10.1007/s40719-019-00173-7
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Purpose of ReviewThe objective of this review is to describe the military experience and utilization of damage control resuscitation as well as explore future developments to push the best medicine far forward in the austere environment.Recent FindingsThe Global War on Terror has transitioned from mature combat theaters staged with rapid medical evacuation and robust medical facilities to more austere environments. Due to this transition, the military medical force has adopted the practice of sending providers and surgeons into forward deployed environments to provide Damage Control Resuscitation closer to the point of injury.SummaryThis review focuses on the key tenets of Damage Control Resuscitation and its development. It also describes how various military units have adopted damage control resuscitation principles.
引用
收藏
页码:119 / 128
页数:10
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