Hemorrhage Control

  • Rachel M. Russo
  • Joseph J. DuBose
Chapter

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.

Keywords

Hemorrhage control Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) Vascular trauma Blast injury Mangled extremity Surgical exposures Traumatic amputation 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Rachel M. Russo
    • 1
  • Joseph J. DuBose
    • 2
  1. 1.Department of General SurgeryUniversity of California Davis Medical CenterSacramentoUSA
  2. 2.Department of Vascular and Endovascular SurgeryDavid Grant USAF Medical Center, Travis Air Force Base, CaliforniaFairfieldUSA

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