The role of the operating department practitioner on board Role 2 Afloat

2017 ◽  
Vol 103 (1) ◽  
pp. 30-31
Author(s):  
A Stables ◽  
G Seal ◽  
S J Mercer
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Royal Navy

AbstractThe Role 2 Afloat (R2A) is the Royal Navy (RN)’s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.

The role of the operating department practitioner on board Role 2 Afloat

2018 ◽  
Vol 28 (11) ◽  
pp. 300-301
Author(s):  
A Stables ◽  
G Seal ◽  
S J Mercer
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Royal Navy

The Role 2 Afloat (R2A) is the Royal Navy (RN)'s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.

Operative Exposure of Abdominal Injuries and Closure of the Abdomen

2019 ◽  
Author(s):  
Matthew D Nealeigh ◽  
Mark W Bowyer
Keyword(s):  
Open Abdomen ◽  
Nonoperative Management ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Abdominal Injuries ◽  
Penetrating Injuries ◽  
Optimal Outcomes ◽  
Medial Rotation ◽  
Selective Nonoperative Management

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

scholarly journals The Evolution of Damage Control in Concept and Practice

2017 ◽  
Vol 31 (01) ◽  
pp. 030-035 ◽  
Author(s):  
Brian Beldowicz
Keyword(s):  
Medical Decision Making ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Strategy Implementation ◽  
Medical Decision ◽  
Metabolic Dysfunction ◽  
Damage Control Resuscitation ◽  
Hemorrhage Control ◽  
Threat To Life ◽  
Critically Ill Surgical Patients

AbstractDamage control surgery (DCS) began as an adjunct approach to hemorrhage control, seeking to facilitate the body's innate clotting ability when direct repair or ligation was impossible, but it has since become a valuable instrument for a broader collection of critically ill surgical patients in whom metabolic dysfunction is the more immediate threat to life than imminent exsanguination. Modern damage control is a strategy that combines the principles of DCS with those of damage control resuscitation. When used correctly, damage control may improve survival in previously unsalvageable patients; when used incorrectly, it can subject patients to imprudent risk and contribute to morbidity. This review discusses the evolution of damage control in both concept and practice, summarizing available literature and experience to guide patient selection, medical decision-making, and strategy implementation throughout the preoperative, intraoperative, and early postoperative periods.

Damage Control Surgery in the Era of Damage Control Resuscitation

2015 ◽  
Vol 59 (3) ◽  
pp. 114-115
Author(s):  
C. M. Lamb ◽  
P. MacGoey ◽  
A. P. Navarro ◽  
A. J. Brooks
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation

Massive Transfusion in a Child

2013 ◽  
Author(s):  
Stefan Sabato
Keyword(s):  
Direct Evidence ◽  
Massive Transfusion ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Supporting Evidence ◽  
Damage Control Resuscitation ◽  
Acute Hemorrhage ◽  
Early Management ◽  
Major Morbidity ◽  
The Core

The traditional early management of hemorrhagic shock is currently being challenged, and many centers around the world have already changed their practice. Damage-control resuscitation, in conjunction with damage-control surgery, has been shown to improve major morbidity and mortality outcomes in adults. In children there is little direct evidence for these new approaches, but supporting evidence is accumulating. This chapter will introduce these concepts while also reinforcing the core principles of managing acute hemorrhage in the trauma setting.

Critical Care Considerations for Damage Control in a Trauma Patient

2021 ◽  
Vol 32 (1) ◽  
pp. 64-75
Author(s):  
Shannon Gaasch
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Cause Of Death ◽  
Damage Control ◽  
Operative Procedure ◽  
Fixed Ratio ◽  
Damage Control Surgery ◽  
Fluid Restriction ◽  
Damage Control Resuscitation ◽  
Lethal Triad

Traumatic injury remains the leading cause of death among individuals younger than age 45 years. Hemorrhage is the primary preventable cause of death in trauma patients. Management of hemorrhage focuses on rapidly controlling bleeding and addressing the lethal triad of hypothermia, acidosis, and coagulopathy. The principles of damage control surgery are rapid control of hemorrhage, temporary control of contamination, resuscitation in the intensive care unit to restore normal physiology, and a planned, delayed definitive operative procedure. Damage control resuscitation focuses on 3 key components: fluid restriction, permissive hypotension, and fixed-ratio transfusion. Rapid recognition and control of hemorrhage and implementation of resuscitation strategies to control damage have significantly improved mortality and morbidity rates. In addition to describing the basic principles of damage control surgery and damage control resuscitation, this article explains specific management considerations for and potential complications in patients undergoing damage control interventions in an intensive care unit.

Role of Negative Pressure Therapy as Damage Control in Soft Tissue Reconstruction for Open Tibial Fractures

2017 ◽  
Vol 33 (S 01) ◽  
pp. S08-S13 ◽  
Author(s):  
Luigi Valdatta ◽  
Pierluigi Tos ◽  
Salvatore D'Arpa ◽  
Luigi Troisi ◽  
Pellegatta Igor ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Chronic Wounds ◽  
Damage Control ◽  
Physiological State ◽  
Damage Control Surgery ◽  
Soft Tissue Reconstruction ◽  
Pressure Therapy ◽  
Temporary Closure

AbstractThe concept of damage control orthopaedics (DCO) is a strategy that focuses on managing orthopaedic injuries in polytrauma patients who are in an unstable physiological state. The concept of DCO is an extension of damage control surgery or damage limitation surgery (DCS/DLS). Recently, it has become clear that certain patients, following extensive soft tissue trauma, could benefit from the idea of DCS. In the management of severe lower extremity trauma with exposed fracture sites, aggressive early wound excision debridement, early internal fixation, and vascularized wound coverage within a few days after trauma were proposed. A negative-pressure dressing can be easily and rapidly applied to obtain a temporary closure between surgical stages. While negative pressure wound therapy (NPWT) has clear indications in the management of chronic wounds, its applications in the acute setting in victims of polytrauma are uneven. We conducted a review of the current clinical literature to evaluate the role of NPWT in this field, which points out that the negative pressure, applied immediately after the first debridement, seems to be an optimal bridge to the final reconstruction up to 7 days.

Role of a Hybrid Room in Damage Control Surgery

2018 ◽  
pp. 93-98
Author(s):  
Dushyant Iyer ◽  
Chad G. Ball ◽  
Scott K. D’Amours
Keyword(s):  
Damage Control ◽  
Damage Control Surgery
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