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Managing Dismounted Complex Blast Injuries in Military & Civilian Settings pp 77–97Cite as

Hemorrhage Control

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Abstract

Blast injury from improvised explosive devices has proven an increasingly encountered mechanism of traumatic injury in military and civilian settings. The emergency surgeon will undoubtedly encounter dramatic and troubling extremity injuries that may occur in conjunction with a multitude of apparent or occult concomitant injuries. Advancements in hemorrhage control and resuscitation have allowed hundreds of patients to survive injuries previously thought to be lethal. This chapter will discuss available strategies for initial hemorrhage control in the patient with multiple traumatic amputations. This will include the identification of the source and severity of hemorrhage, initial prehospital and early in-hospital interventions, and then methods for operative control. The bulk of the chapter focuses on practical advice on the anatomy and techniques for exposure, control, and repair or temporization of the major vascular structures in the thorax, abdomen, and pelvis.

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Author information

Authors and Affiliations

  1. Department of General Surgery, University of California Davis Medical Center, Sacramento, CA, USA

    Rachel M. Russo

  2. Department of Vascular and Endovascular Surgery, David Grant USAF Medical Center, Travis Air Force Base, California, Fairfield, CA, USA

    Joseph J. DuBose

Authors
  1. Rachel M. Russo
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  2. Joseph J. DuBose
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Editor information

Editors and Affiliations

  1. Division of Trauma and Acute Care Surgery, University of California Davis Medical Center, Sacramento, California, USA

    Joseph M. Galante

  2. Madigan Army Medical Center, Tacoma, Washington, USA

    Matthew J. Martin

  3. Department of Surgery, Walter Reed National Military Medical Center, Bethesda, Maryland, USA

    Carlos J. Rodriguez

  4. Department of Orthopaedics, Walter Reed National Military Medical Center, Bethesda, Maryland, USA

    Wade Travis Gordon

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Russo, R.M., DuBose, J.J. (2018). Hemorrhage Control. In: Galante, J., Martin, M., Rodriguez, C., Gordon, W. (eds) Managing Dismounted Complex Blast Injuries in Military & Civilian Settings. Springer, Cham. https://doi.org/10.1007/978-3-319-74672-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-74672-2_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74671-5

  • Online ISBN: 978-3-319-74672-2

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