From Collapse to Control: A Case Report on Damage Control Resuscitation in Crush Injury

Abstract

Damage-control resuscitation is a method used to care for seriously injured trauma patients. It helps reduce blood loss and manage or treat problems with blood clotting. This approach uses early steps to stop bleeding, gives fluids carefully to keep blood pressure low, and uses blood products in a balanced way. This protocol is based on strong evidence and is meant to guide the best care for trauma patients who are losing a lot of blood (1). A serious problem that can happen is called the lethal triad, which includes acidosis, hypothermia, and coagulopathy. This triad can make it hard to fix all injuries in one surgery. In these cases, damage control surgery is recommended to delay full treatment and focus first on helping the patient's body recover instead of fixing all injuries at once. This approach has been shown to greatly improve the chances of survival for patients who are very badly injured (2).