Byers Rachel
Military of Defence Hospital Unit Northallerton, Friarage Hospital, Northallerton, North Yorkshire DL6 1JG, UK.
Int Emerg Nurs. 2010 Oct;18(4):221-5. doi: 10.1016/j.ienj.2010.01.002. Epub 2010 Apr 18.
Management of battlefield casualties in Iraq and Afghanistan has seen considerable development in damage control resuscitation, which aims to address the risk of haemorrhage, initially due to mechanical damage; and thereafter due to the development of life-threatening coagulopathy. Damage control resuscitation combines a variety of techniques, such as the use of the combat application tourniquet and novel haemostatics, through to ground-breaking developments in transfusion protocols. These practical aspects of the doctrine are combined with an ethos which sees consultant-led care implemented from as close to the point of wounding as is possible. Meticulous trauma audit is included in this process and has allowed for rapid translation of knowledge into practice. The main elements of this doctrine are described.
在伊拉克和阿富汗战场上伤员的管理方面，损伤控制复苏取得了显著进展，其目的是应对出血风险，最初是由于机械损伤；随后是由于危及生命的凝血病的发展。损伤控制复苏结合了多种技术，如使用战斗应用止血带和新型止血剂，直至输血方案的突破性进展。该理论的这些实际方面与一种理念相结合，即尽可能在靠近受伤点的地方实施由顾问主导的护理。细致的创伤审计也包含在这一过程中，并使知识能够迅速转化为实践。本文描述了该理论的主要内容。
