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Trauma Hemostasis And Oxygenation Research (THOR) Network Position Paper On The Role Of Hypotensive Resuscitation As Part Of Remote Damage Control Resuscitation

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posted on 20.04.2018, 10:38 by Thomas Woolley, Patrick Thompson, Emrys Kirkman, Richard Reed, Sylvian Ausset, Andrew Becket, Christopher Bjerkvig, Andrew Cap, Tim Coats, Mitchell Cohen, Marc Despasquale, Warren Dorlac, Heidi Doughty, Richard Dutton, Brian Eastridge, Elon Glassberg, Anthony Hudson, Donald Jenkins, Sean Keenan, Christophe Martinaude, Ethan Miles, Ernest Moore, Giles Nordmann, Nicolas Prat, Joseph Rappold, Michael Reade, Paul Rees, Rory Rickard, Martin Schreiber, Stacy Shackleford, Håkon Skogran, Jason Smith, Mike Smith, Philip Spinella, Geir Strandenes, Kevin Ward, Sarah Watts, Nathan White, Steve Williams
In a casualty with life-threatening hemorrhage, shock should be reversed as soon as possible using a blood-based hemostatic resuscitation fluid. Whole blood is preferred to blood components. As a part of this hemostatic resuscitation, the initial systolic blood pressure (SBP) target should be 100 mm Hg. Remote Damage Control Resuscitation (RDCR) has previously been defined as the prehospital application of damage control resuscitation. In RDCR, it is vital for higher echelon care providers to receive a casualty with sufficient physiologic reserve to survive definitive surgical hemostasis and aggressive resuscitation. The combined use of blood-based resuscitation and limiting SBP is believed to be effective in promoting hemostasis and reversing shock.

History

Citation

Journal of Trauma and Acute Care Surgery, 2018

Author affiliation

/Organisation/COLLEGE OF LIFE SCIENCES/School of Medicine/Department of Cardiovascular Sciences

Version

AM (Accepted Manuscript)

Published in

Journal of Trauma and Acute Care Surgery

Publisher

Lippincott, Williams & Wilkins

issn

2163-0755

eissn

2163-0763

Acceptance date

06/02/2018

Copyright date

2018

Available date

27/02/2019

Publisher version

https://journals.lww.com/jtrauma/Citation/publishahead/Trauma_Hemostasis_And_Oxygenation_Research__THOR_.98773.aspx

Notes

The file associated with this record is under embargo until 12 months after publication, in accordance with the publisher's self-archiving policy. The full text may be available through the publisher links provided above.

Language

en

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