Endeavors to improve competence of damage control operation in rescue care of war injury
10.3760/cma.j.cn501098-20240705-00417
- VernacularTitle:努力提高战伤救治中损害控制手术能力
- Author:
Yang LI
1
;
Lianyang ZHANG
Author Information
1. 陆军军医大学陆军特色医学中心战创伤医学中心，创伤与化学中毒全国重点实验室，重庆 400042
- Keywords:
War;
Wounds and injuries;
Damage control operation
- From:
Chinese Journal of Trauma
2024;40(10):882-887
- CountryChina
- Language:Chinese
-
Abstract:
War injuries often present as gunshot wounds, penetrating injuries, combined injuries involving multiple body cavities and complex trauma, characterized by high complexity and urgency, which pose a direct threat to the lives of the wounded. Damage control operation (DCO) is crucial for the successful management of severe war trauma and injury and serves as the foundation for achieving the goal of resuscitation. Enhancing surgical competence in early war injury care is vital for improving the medical support capacity in military operations. However, due to the lack of war injury care experience, the DCO competence of most military surgeons is not strong enough, which may lead to reduced treatment efficiency during wartime. Based on the injury care experience in the 21st-century combats, the authors overviewed DCO, highlighted the differences between DCO in peacetime and wartime, and explored the key points and common practices in implementing DCO for war injuries. It was proposed that only by performing DCO in accordance with the principles of war injury care within the golden hour, combined with damage control resuscitation (DCR), a "coordinated approach of surgery and resuscitation", can the rescue level of war injury be improved.
