Part I. DCR Clinical Concepts.- Chapter 1. History of DCR and RDCR.- Chapter 2. Epidemiology of Prehospital and Hospital Traumatic Deaths from Life-Threatening Hemorrhage (LTH).- Chapter 3. Pathophysiology of Blood Failure (Shock and Hemostatic Dysfunction) Due to LTH.- Chapter 4. Surgical Control of Bleeding.- Chapter 5. Permissive Hypotension.- Chapter 6. Blood-based Resuscitation for LTH.- Chapter 7. Intravenous Hemostatic Adjuncts.- Chapter 8. Mechanical and Topical Hemostatic Adjuncts.- Chapter 9. DCR for Traumatic Brain Injury.- Chapter 10. Airway Management with LTH.- Chapter 11. Prehospital Monitoring of Vital Signs and Laboratory Values.- Chapter 12. Developing a Prehospital Blood Transfusion Program.- Chapter 13. Emergency Preparedness Aspects of DCR.- Chapter 14. Research Needs for RDCR.- Chapter 15. DCR for Non-trauma Patients.- Part II. Education and Training Methods for DCR.- Chapter 17. Needs Assessment from Front-line Providers.- Chapter 18. Optimal Methods of Teaching DCR.- Chapter 19. Optimal Methods for Training DCR Principles.- Chapter 20. Learning Healthcare System Principles to Facilitate Education and Training.
This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings.
The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage.
Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.
Philip C. Spinella, MD, FCCM
Director, Pediatric Critical Care Translational Research Program and Blood Research Program
Professor, Department of Pediatrics
Washington University in St Louis School of Medicine