Abstract
Damage control resuscitation is a relatively new concept. Damage control surgery and damage control orthopaedics occupy a small proportion of the overall process. The method was gleaned and adapted from the armed forces model of temporary repairs to gain control of an unstable situation until definitive intervention could be undertaken. Damage control seeks to improve early patient mortality by gaining control of haemorrhage, haemostatic resuscitation, reduction in acidosis and prevention of hypothermia. Appropriate surgical intervention can then be undertaken with the patient in the best physiological state. Damage control orthopaedics involves stabilization of long bone fractures and reducing contamination of the soft tissue envelope. It necessitates continuous communication between surgical, anaesthetic and the whole multidisciplinary team.
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