Damage control surgery: Military

Carlos Rodriguez, Peter Rhee

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

The term "damage control" is rooted in Navy history as the way to approach shipboard battle damage. Essentially, it applied to quick measures aimed at stopping flood waters from rushing in and sinking a ship. In surgery, the term has come to mean application of expedient approaches to stemming exsanguinating hemorrhage and controlling contamination, in the physiologically deranged patient, to the point where resuscitation can occur. Trauma surgery typically has four stages. First is hemorrhage control, second is contamination control, third is evaluation or diagnosis, and fourth is reconstruction. Damage control surgery mandates the first two stages but defers the third and fourth stages till a more appropriate time and place. In civilian damage control, it was originally developed as a temporizing measure that provides time for restoration of normal physiology and, later, normal anatomy. In this chapter, we look to apply damage control surgery methods to the combat trauma environment. In this setting, the logistics are often completely different than in civilian trauma centers and are often done not for physiology restoration but due to the logistics and resources of the combat environment.

Original languageEnglish (US)
Title of host publicationDamage Control in Trauma Care
Subtitle of host publicationAn Evolving Comprehensive Team Approach
PublisherSpringer International Publishing
Pages25-43
Number of pages19
ISBN (Electronic)9783319726076
ISBN (Print)9783319726069
DOIs
StatePublished - May 25 2018
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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