Anaes Vivas · Trauma & massive haemorrhage
Clinical viva — damage control resuscitation principles
A clinical viva on DCR — permissive hypotension (MAP 50-65), haemostatic resuscitation (1-to-1-to-1, TXA, avoid crystalloid), warming, calcium, damage control surgery, and lethal-triad prevention.
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Prompt
A junior colleague asks how you resuscitate the trauma patient with massive haemorrhage. Walk them through the damage control resuscitation principles.
Stimulus
A junior colleague asks how you resuscitate the trauma patient with massive haemorrhage. Walk them through the damage control resuscitation principles.
References3ShowHide
- [2]Singhal S, et al. Management of acute hemorrhage and damage-control resuscitation. Tech Vasc Interv Radiol, 2026.PMID 42230073
- [6]Klimek O, et al. The damage control strategy in multiple organ injuries. J Clin Med, 2026.PMID 41976850
- [42230074]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.