Damage Control Resuscitation

  • Kyle J. Kalkwarf
  • John B. Holcomb


Damage control resuscitation principles resemble the concepts learned and successfully practiced during World Wars I and II. They focus on minimizing bleeding with permissive hypertension, transfusing balance blood products (1:1:1) to limit bleeding caused by the coagulopathy of trauma, and quickly controlling hemorrhage. While clinical practice deviated from these practices for many years, recent studies show their benefits in decreasing morbidity and mortality for exsanguinating patients.


Hemorrhagic shock Massive transfusion protocol Coagulopathy of trauma Permissive hypotension Balanced resuscitation 



Dr. Holcomb reports a conflict of interest as a co-inventor of the Junctional Emergency Treatment Tool.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Kyle J. Kalkwarf
    • 1
  • John B. Holcomb
    • 1
  1. 1.Department of Surgery, McGovern Medical SchoolUniversity of Texas Health Science Center at Houston (UTHealth)HoustonUSA

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