Damage Control Resuscitation (DCR)

📺 ​Teaching Video:
https://youtu.be/NqM7IKz9-to&list=PLOlpsJ0eDlASRw1LywI2iGfzDTqxlAYFJ

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Damage Control Resuscitation (DCR)
- A strategy for managing severely injured trauma patients experiencing significant hemorrhage.

Objective
-To correct or prevent the lethal triad of hypothermia, acidosis, and coagulopathy.

Approach
- Prioritizes early hemorrhage control and hemostatic resuscitation, contrasting with traditional large-volume crystalloid resuscitation.

Core Principles
- Minimize crystalloid use to mitigate dilutional coagulopathy.
- Utilize permissive hypotension (target systolic blood pressure of 80-100 mmHg) until hemorrhage is controlled (exception: patients with traumatic brain injury).
- Administer prompt, balanced transfusion of blood products (commonly in a 1:1:1 ratio of packed red blood cells, fresh frozen plasma, and platelets) to address coagulopathy and emulate whole blood.
- Initiate early administration of tranexamic acid (TXA).

Integration
- Performed in conjunction with damage control surgery, focusing initial surgical efforts on immediate life-saving hemorrhage and contamination control.

Teaching Video:
https://youtu.be/NqM7IKz9-to&list=PLOlpsJ0eDlASRw1LywI2iGfzDTqxlAYFJ