Trauma hemostasis and oxygenation research position paper on remote damage control resuscitation: Definitions, current practice, and knowledge gaps

Donald H. Jenkins, Joseph F. Rappold, John F. Badloe, Olle Berséus, Col Lorne Blackbourne, Karim H. Brohi, Frank K. Butler, Ltc Andrew P. Cap, Mitchell Jay Cohen, Ross Davenport, Marc DePasquale, Heidi Doughty, Elon Glassberg, Tor Hervig, Timothy J. Hooper, Rosemary Kozar, Marc Maegele, Ernest E. Moore, Alan Murdock, Paul M. NessShibani Pati, Col Todd Rasmussen, Anne Sailliol, Martin A. Schreiber, Geir Arne Sunde, Leo M.G. Van De Watering, Kevin R. Ward, Richard B. Weiskopf, Nathan J. White, Geir Strandenes, Philip C. Spinella

Research output: Contribution to journalArticlepeer-review

148 Scopus citations

Abstract

The Trauma Hemostasis and Oxygenation Research Network held its third annual Remote Damage Control Resuscitation Symposium in June 2013 in Bergen, Norway. The Trauma Hemostasis and Oxygenation Research Network is a multidisciplinary group of investigators with a common interest in improving outcomes and safety in patients with severe traumatic injury. The network's mission is to reduce the risk of morbidity and mortality from traumatic hemorrhagic shock, in the prehospital phase of resuscitation through research, education, and training. The concept of remote damage control resuscitation is in its infancy, and there is a significant amount of work that needs to be done to improve outcomes for patients with life-threatening bleeding secondary to injury. The prehospital phase of resuscitation is critical in these patients. If shock and coagulopathy can be rapidly identified and minimized before hospital admission, this will very likely reduce morbidity and mortality. This position statement begins to standardize the terms used, provides an acceptable range of therapeutic options, and identifies the major knowledge gaps in the field.

Original languageEnglish
Pages (from-to)3-12
Number of pages10
JournalShock
Volume41
Issue numberSUPPL. 1
DOIs
StatePublished - May 2014

Keywords

  • Trauma
  • morbidity
  • mortality
  • prehospital
  • resuscitation
  • transfusion

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