ICU SAQs · Resuscitation & shock
Haemorrhagic shock — damage control resuscitation
A CICM SAQ on damage control resuscitation — bleeding control, permissive hypotension, balanced transfusion, TXA, damage control surgery, and the lethal triad.
On this page
Study tools
Target exams
CICMFFICMEDIC
Prompt
A trauma patient presents with class IV haemorrhagic shock from a pelvic fracture. Outline the damage control resuscitation.
Question
A trauma patient presents with class IV haemorrhagic shock from a pelvic fracture. Outline the damage control resuscitation.[2]
References5ShowHide
- [1]Kalkwarf KJ, Cotton BA Resuscitation for Hypovolemic Shock. Surgical Clinics of North America, 2017.PMID 29132511
- [2]Spahn DR, Bouillon B, Cerny V, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Critical Care, 2019.PMID 30917843
- [3]Cannon JW, Khan MA, Raja AS, et al. Damage control resuscitation in patients with severe traumatic hemorrhage: A practice management guideline from the Eastern Association for the Surgery of Trauma. J Trauma Acute Care Surg, 2017.PMID 28225743
- [4]Holcomb JB, Tilley BC, Baraniuk S, et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. JAMA, 2015.PMID 25647203
- [5]CRASH-2 collaborators, Roberts I, Shakur H, et al. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. Lancet, 2011.PMID 21439633