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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]
Commonly, when someone presents with these signs, damage control surgery is employed to reverse the effects. [citation needed] The three conditions share a complex relationship; each factor can compound the others, resulting in high mortality if this positive feedback loop continues uninterrupted. [citation needed]
Here, the surgeons evaluate all the wounded and prioritize for surgery. Patients that require operative intervention are taken to the operating room for damage control surgery, which is focused on abbreviated surgical times, control of hemorrhage with ligation or shunting, and control of contamination without definitive repairs. Examples of ...
Trauma surgery is a surgical specialty that utilizes both operative and non-operative management to treat traumatic injuries, typically in an acute setting. Trauma surgeons generally complete residency training in general surgery [ 1 ] [ 2 ] and often fellowship training in trauma or surgical critical care .
[2] [3] Temporary control of the hemorrhage can be accomplished through direct manual pressure to the wound site. [2] In these severe cases it is important to prevent the progression of the trauma triad of death, which often requires the utilization of damage control surgery. [14]
Trump’s repeated, publicly stated desire for the US to retake control of the key waterway has already caused a diplomatic stir, with Mulino repeatedly stating that that Panama’s sovereignty ...
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