AUTHOR=Pikoulis Emmanouil , Salem Karim M. , Avgerinos Efthymios D. , Pikouli Anastasia , Angelou Anastasios , Pikoulis Antreas , Georgopoulos Sotirios , Karavokyros Ioannis 

TITLE=Damage Control for Vascular Trauma from the Prehospital to the Operating Room Setting

JOURNAL=Frontiers in Surgery

VOLUME=4

YEAR=2017

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2017.00073

DOI=10.3389/fsurg.2017.00073

ISSN=2296-875X

ABSTRACT=<p>Early management of vascular injury, starting at the field, is imperative for survival no less than any operative maneuver. Contemporary prehospital management of vascular trauma, including appropriate fluid and volume infusion, tourniquets, and hemostatic agents, has reversed the historically known limb hemorrhage as a leading cause of death. In this context, damage control (DC) surgery has evolved to DC resuscitation (DCR) as an overarching concept that draws together preoperative and operative interventions aiming at rapidly reducing bleeding from vascular disruption, optimizing oxygenation, and clinical outcomes. This review addresses contemporary DCR techniques from the prehospital to the surgical setting, focusing on civilian vascular injuries.</p>