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Damage control surgery can be divided into the following three phases: Initial laparotomy, Intensive Care Unit (ICU) resuscitation, and definitive reconstruction. Each of these phases has defined timing and objectives to ensure best outcomes. The following goes through the different phases to illustrate, step by step, how one might approach this.
A philosophy of damage control orthopaedics (DCO) was proposed in 2000, [2] aiming to prevent early death in a critically wounded patient via stabilization and not definitive fixation, often with the use of external fixation systems. EAC was developed by Heather Vallier while at MetroHealth in Cleveland. [3]
As an enemy is suppressed, casualties can move or be moved to more secure positions. The only medical treatment rendered in CUF is stopping life-threatening hemorrhaging (bleeding). TCCC actively endorses and recommends the early and immediate use of tourniquets to control massive external hemorrhaging of limbs.
In severe liver injuries (class ≥III), or those with hemodynamic instability, surgery is generally necessary. [7] Surgical techniques such as perihepatic packing or the use of the Pringle manoeuvre can be used to control hemorrhage. [2] [3] Temporary control of the hemorrhage can be accomplished through direct manual pressure to the wound ...
Damage Control, by David Auburn; Damage Control, a comic book limited series published by Marvel Comics, featuring a fictitious company by the same name United States Department of Damage Control, in Marvel Cinematic Universe media; Damage CTRL, a professional wrestling stable in WWE formerly named Damage Control
A chief damage controlman and master chief damage controlman demonstrating how to apply a box patch to a ruptured bulkhead at the Yokosuka Fire Fighting and Damage Control Training Facility. People who are in the damage controlman (DC) rating are the Navy's and Coast Guard’s maintenance and emergency repair specialists.
Such a card is used for archiving or for making multiple inexpensive copies of a document for ease of distribution. The card is typically punched with machine-readable metadata associated with the microfilm image, and printed across the top of the card for visual identification; it may also be punched by hand in the form of an edge-notched card ...
The free edge of a ruptured diaphragm may curl and become perpendicular to the chest wall, a sign known as a dangling diaphragm. A herniated organ may constrict at the location of a rupture, a sign known as the collar sign. If the liver herniates through a rupture on the right side, it may produce two signs known as the hump and band signs.