Pediatr Emerg Med J.  2019 Jun;6(1):1-10. 10.22470/pemj.2019.00066.

Damage control resuscitation in children

• Kim JH
• Ko Y
• Jung K

• KMID: 2452849
• DOI: http://doi.org/10.22470/pemj.2019.00066

Abstract

Damage control resuscitation is a relatively new resuscitative strategy for patients with severe traumatic hemorrhage. This strategy consists of permissive hypotension and early balanced transfusion, and transfers the patients to subsequent surgery. There is growing evidence on harms of excessive fluids. Since 2013, survival benefit of massive transfusion protocol has been proven in adults. Despite insufficient evidence, pediatric massive transfusion protocols are widely used in North American trauma centers. This review focuses on the concept of damage control resuscitation, and summarizes the relevant pediatric evidence.

Keyword

Blood Coagulation Disorders; Blood Transfusion; Child; Emergency Medicine; Hemostasis; Hypotension, Controlled; Resuscitation; Wounds and Injuries

MeSH Terms

Adult
Blood Coagulation Disorders
Blood Transfusion
Child*
Emergency Medicine
Hemorrhage
Hemostasis
Humans
Hypotension
Hypotension, Controlled
Resuscitation*
Trauma Centers
Wounds and Injuries