Damage control resuscitation in children
- Author:
Jung Heon KIM
1
;
Yura KO
;
Kyoungwon JUNG
Author Information
- Publication Type:Review
- Keywords: Blood Coagulation Disorders; Blood Transfusion; Child; Emergency Medicine; Hemostasis; Hypotension, Controlled; Resuscitation; Wounds and Injuries
- MeSH: Adult; Blood Coagulation Disorders; Blood Transfusion; Child; Emergency Medicine; Hemorrhage; Hemostasis; Humans; Hypotension; Hypotension, Controlled; Resuscitation; Trauma Centers; Wounds and Injuries
- From:Pediatric Emergency Medicine Journal 2019;6(1):1-10
- CountryRepublic of Korea
- Language:English
- Abstract: Damage control resuscitation is a relatively new resuscitative strategy for patients with severe traumatic hemorrhage. This strategy consists of permissive hypotension and early balanced transfusion, and transfers the patients to subsequent surgery. There is growing evidence on harms of excessive fluids. Since 2013, survival benefit of massive transfusion protocol has been proven in adults. Despite insufficient evidence, pediatric massive transfusion protocols are widely used in North American trauma centers. This review focuses on the concept of damage control resuscitation, and summarizes the relevant pediatric evidence.
