Damage control refers to a surgical approach designed to manage severe hemorrhage in trauma patients. It prioritizes rapid physiological stabilization over immediate anatomical reconstruction in critically injured individuals. In recent years, this concept has evolved into Damage Control Resuscitation (DCR), which integrates hypotensive resuscitation and early use of blood products to counteract the lethal triad of acidosis, coagulopathy, and hypothermia.
Indications for Damage Control Appropriate patient selection is essential for DCR. Indicators include: Massive bleeding requiring transfusion of >10 units PRBC Severe metabolic acidosis (pH < 7.30) Hypothermia (temperature < 35°C) Prolonged operative time (> 90 minutes) Laboratory or visual evidence of coagulopathy Elevated lactate (>5 mmol/L) Delaying the decision to initiate DCR has been associated with poorer outcomes. Components of…
