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  • Book
    Philip C. Spinella, editor.
    Summary: This book provides a comprehensive overview of damage control resuscitation (DCR), an evidence-based approach to the resuscitation of patients with severe life-threatening hemorrhage (LTH). It focuses on both civilian and military applications as DCR is utilized in civilian trauma situations as well as combat casualty care settings. The book covers the history of fluid resuscitation for bleeding, epidemiology of severe traumatic injuries, prediction of life-threatening hemorrhage, pathophysiology and diagnosis of blood failure, and permissive hypotension. Chapters provide in-depth detail on hemostatic resuscitation principles, dried plasma, dried platelet surrogates, and recent developments in frozen red blood cells and oxygen carriers. The book also discusses how DCR principles can be used in a variety of situations such as when there are large numbers of patients with hemorrhagic lesions, non-trauma scenarios, and on distinct populations such as children. Finally, it concludes with a discussion of training and education methods for the implementation of DCR and remote DCR principles as well as learning healthcare system principles to facilitate the implementation of DCR and ultimately improve outcomes for patients with life-threatening hemorrhage. Damage Control Resuscitation: Identification and Treatment of Life-Threatening Hemorrhage is an essential resource for physicians and related professionals, residents, nurses and medical students in emergency medicine, anesthesia, surgery, and critical care, as well as civilian and military EMS providers.

    Part I. DCR Clinical Concepts
    Chapter 1. History of DCR and RDCR
    Chapter 2. Epidemiology of Prehospital and Hospital Traumatic Deaths from Life-Threatening Hemorrhage (LTH)
    Chapter 3. Pathophysiology of Blood Failure (Shock and Hemostatic Dysfunction) Due to LTH
    Chapter 4. Surgical Control of Bleeding
    Chapter 5. Permissive Hypotension
    Chapter 6. Blood-based Resuscitation for LTH
    Chapter 7. Intravenous Hemostatic Adjuncts
    Chapter 8. Mechanical and Topical Hemostatic Adjuncts
    Chapter 9. DCR for Traumatic Brain Injury
    Chapter 10. Airway Management with LTH
    Chapter 11. Prehospital Monitoring of Vital Signs and Laboratory Values
    Chapter 12. Developing a Prehospital Blood Transfusion Program
    Chapter 13. Emergency Preparedness Aspects of DCR
    Chapter 14. Research Needs for RDCR
    Chapter 15. DCR for Non-trauma Patients
    Part II. Education and Training Methods for DCR
    Chapter 17. Needs Assessment from Front-line Providers
    Chapter 18. Optimal Methods of Teaching DCR
    Chapter 19. Optimal Methods for Training DCR Principles
    Chapter 20. Learning Healthcare System Principles to Facilitate Education and Training.
    Digital Access Springer 2020