Abstract
There has been significant research dedicated to damage control resuscitation in adult trauma patients with hemorrhagic shock. Balanced blood product resuscitation with restriction of crystalloid has demonstrated improved outcomes in such patients. But to date, there has been insufficient evidence to determine the best resuscitation strategy for severely injured children suffering from exsanguination. Nonetheless, massive transfusion protocols developed for the adult population have been modified and widely implemented for children. Despite the experiences gained during the recent military conflicts overseas and at civilian trauma centers, there continues to be a lack of evidence regarding optimal resuscitation strategies for children in hemorrhagic shock.
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