Damage Control Resuscitation

2017 ◽  
pp. 57-75
Author(s):  
Jacob R. Peschman ◽  
Donald H. Jenkins ◽  
John B. Holcomb ◽  
Timothy C. Nunez
2019 ◽  
pp. 15-22
Author(s):  
Yu Chen ◽  
Xijing Zhang

2021 ◽  
Author(s):  
Diego A Vicente ◽  
Obinna Ugochukwu ◽  
Michael G Johnston ◽  
Chad Craft ◽  
Virginia Damin ◽  
...  

ABSTRACT Introduction Navy Medicine's Role 2 Light Maneuver (R2LM) Emergency Resuscitative Surgical Systems (ERSS) are austere surgical teams manned, trained, and equipped to provide life-saving damage control resuscitation and surgery in any environment on land or sea. Given the restrictions related to the COVID-19 pandemic, the previously established pre-deployment training pipeline for was modified to prepare a new R2LM team augmenting a Role 1 shipboard medical department. Methods The modified curriculum created in response to COVID-19 related restriction is compared and contrasted to the established pre-deployment R2LM ERSS curriculum. Subject Matter Experts and currently deployed R2LM members critically evaluate the two curricula. Results Both curricula included the team R2LM platform training and exposure to cadaver based team trauma skills training. The modified curriculum included didactics on shipboard resuscitation, anesthesia and surgery, shipboard COVID-19 management, and prolonged field care in austere maritime environments. Conclusions We describe Navy Medicines R2LM ERSS capability and compare and contrast the standard R2LM pre-COVID-19 curriculum to the modified curriculum. Central to both curricula, the standard R2LM platform training is important for developing and honing team dynamics, communication skills and fluid leadership; important for the successful function austere surgical teams. Several opportunities for improvement in the pre-deployment training were identified for R2LM teams augmenting shipboard Role 1 medical departments.


2012 ◽  
Vol 73 ◽  
pp. S459-S464 ◽  
Author(s):  
Keith Palm ◽  
Amy Apodaca ◽  
Debra Spencer ◽  
George Costanzo ◽  
Jeffrey Bailey ◽  
...  

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Daniela Schmulevich ◽  
Pamela Z. Cacchione ◽  
Sara Holland ◽  
Kristin Quinlan ◽  
Alyson Hinkle ◽  
...  

2012 ◽  
Vol 73 (3) ◽  
pp. 674-678 ◽  
Author(s):  
Marquinn D. Duke ◽  
Chrissy Guidry ◽  
Jordan Guice ◽  
Lance Stuke ◽  
Alan B. Marr ◽  
...  

2019 ◽  
Author(s):  
Matthew D Nealeigh ◽  
Mark W Bowyer

Operative exposure and management of significant blunt or penetrating injuries to the abdomen is a critical skill required of all surgeons caring for victims of trauma. Application of damage control resuscitation and damage control surgical principles improves survival. Advances in diagnostics, increasing experience with selective nonoperative management, and use of endovascular and angiographic techniques have all significantly decreased the frequency of laparotomies performed for trauma. This decreasing clinical experience mandates that surgeons dealing with victims of trauma remain facile with the operative approaches and techniques detailed in this chapter to achieve optimal outcomes. Detailed management of specific injuries is covered in other chapters of this text. This review contains 7 figures, 2 tables, and 41 references.  Key Words: abdominal trauma, damage control resuscitation, damage control surgery, endovascular control of hemorrhage, open abdomen, REBOA, supraceliac control of aorta, trauma systems, visceral medial rotation


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