Damage Control in Vascular Trauma

Stone HH, Strom PR, Mullins RJ. Management of the major coagulopathy with onset during laparotomy. Ann Surg. 1983;197(5):532–5.

Article  CAS  PubMed  PubMed Central  Google Scholar 

Rotondo MF, Schwab CW, McGonigal MD, Phillips GR 3rd, Fruchterman TM, Kauder DR, et al. 'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993;35(3):375–82. discussion 82-3

Article  CAS  PubMed  Google Scholar 

Hess JR, Holcomb JB, Hoyt DB. Damage control resuscitation: the need for specific blood products to treat the coagulopathy of trauma. Transfusion. 2006;46(5):685–6.

Article  PubMed  Google Scholar 

Moore EE, Thomas G. Orr Memorial Lecture. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome. Am J Surg. 1996;172(5):405–10.

Article  CAS  PubMed  Google Scholar 

Chovanes J, Cannon JW, Nunez TC. The evolution of damage control surgery. Surg Clin North Am. 2012;92(4):859–75. vii-viii

Article  PubMed  Google Scholar 

Shapiro MB, Jenkins DH, Schwab CW, Rotondo MF. Damage control: collective review. J Trauma. 2000;49(5):969–78.

Article  CAS  PubMed  Google Scholar 

Eastridge BJ, Hardin M, Cantrell J, Oetjen-Gerdes L, Zubko T, Mallak C, et al. Died of wounds on the battlefield: causation and implications for improving combat casualty care. J Trauma. 2011;71(1 Suppl):S4–8.

PubMed  Google Scholar 

Tovmassian RV, Kragh JF Jr, Dubick MA, Billings S, Blackbourne LH. Combat ready clamp medic technique. J Spec Oper Med. 2012;12(4):72–8.

Article  PubMed  Google Scholar 

Stannard A, Morrison JJ, Scott DJ, Ivatury RA, Ross JD, Rasmussen TE. The epidemiology of noncompressible torso hemorrhage in the wars in Iraq and Afghanistan. J Trauma Acute Care Surg. 2013;74(3):830–4.

Article  PubMed  Google Scholar 

Kragh JF Jr, Walters TJ, Baer DG, Fox CJ, Wade CE, Salinas J, et al. Survival with emergency tourniquet use to stop bleeding in major limb trauma. Ann Surg. 2009;249(1):1–7.

Article  PubMed  Google Scholar 

Kotwal RS, Montgomery HR, Kotwal BM, Champion HR, Butler FK Jr, Mabry RL, et al. Eliminating preventable death on the battlefield. Arch Surg. 2011;146(12):1350–8.

Article  PubMed  Google Scholar 

. Anonymous A. Tactical Combat Casualty Care (TCCC) Guidelines for Medical Personnel 15 December 2021. J Spec Oper Med. 2022;22(1):11–7. The TCCC Guidelines remain an up-to-date resource for medical providers utilized by military and civilian trauma providers. Implementation of tourniquet use and hemostatic dressings will continue to widen. It is critical to know what resources will be available prehospital and anticipate what training future medics will require to use them successfully in both civilian trauma and combat.

Article  PubMed  Google Scholar 

Inaba K, Siboni S, Resnick S, Zhu J, Wong MD, Haltmeier T, et al. Tourniquet use for civilian extremity trauma. J Trauma Acute Care Surg. 2015;79(2):232–7;quiz 332-3.

Article  PubMed  Google Scholar 

Teixeira PGR, Brown CVR, Emigh B, Long M, Foreman M, Eastridge B, et al. Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury. J Am Coll Surg. 2018;226(5):769–76. e1

Article  PubMed  Google Scholar 

David Richard King AL, Ramly EP, Boston Trauma Collaborative. Tourniquet use at the Boston Marathon bombing: Lost in translation. The J Trauma Acute Care Surg. 2015 Mar;78(3):594–9.

Article  PubMed  Google Scholar 

Jacobs LM, Burns KJ, Pons PT, Gestring ML. Initial Steps in Training the Public about Bleeding Control: Surgeon Participation and Evaluation. J Am Coll Surg. 2017;224(6):1084–90.

Article  PubMed  Google Scholar 

Peng HT. Hemostatic agents for prehospital hemorrhage control: a narrative review. Mil Med Res. 2020;7(1):13.

PubMed  PubMed Central  Google Scholar 

Rhee P, Brown C, Martin M, Salim A, Plurad D, Green D, et al. QuikClot use in trauma for hemorrhage control: case series of 103 documented uses. J Trauma. 2008;64(4):1093–9.

PubMed  Google Scholar 

DJT SDo. Tactical Combat Casualty Care Guidelines2012. Available from: http://www.health.mil/Libraries/120917_TCCC_Course_Materials/TCCC-Guidelines-120917.pdf.

Kheirabadi BS, Scherer MR, Estep JS, Dubick MA, Holcomb JB. Determination of efficacy of new hemostatic dressings in a model of extremity arterial hemorrhage in swine. J Trauma. 2009;67(3):450–9. discussion 9-60

CAS  PubMed  Google Scholar 

Ran Y, Hadad E, Daher S, Ganor O, Kohn J, Yegorov Y, et al. QuikClot Combat Gauze use for hemorrhage control in military trauma: January 2009 Israel Defense Force experience in the Gaza Strip--a preliminary report of 14 cases. Prehosp Disaster Med. 2010;25(6):584–8.

Article  PubMed  Google Scholar 

Klotz JK, Leo M, Andersen BL, Nkodo AA, Garcia G, Wichern AM, et al. First case report of SAM(r) Junctional tourniquet use in Afghanistan to control inguinal hemorrhage on the battlefield. J Spec Oper Med. 2014;14(2):1–5.

Article  PubMed  Google Scholar 

Meusnier JG, Dewar C, Mavrovi E, Caremil F, Wey PF, Martinez JY. Evaluation of Two Junctional Tourniquets Used on the Battlefield: Combat Ready Clamp(R) versus SAM(R) Junctional Tourniquet. J Spec Oper Med. 2016;16(3):41–6.

Article  PubMed  Google Scholar 

Kragh JF, Lunati MP, Kharod CU, Cunningham CW, Bailey JA, Stockinger ZT, et al. Assessment of Groin Application of Junctional Tourniquets in a Manikin Model. Prehosp Disaster Med. 2016;31(4):358–63.

Article  PubMed  Google Scholar 

Kheirabadi BS, Terrazas IB, Miranda N, Estep JS, Corona BT, Kragh JF Jr, et al. Long-term effects of Combat Ready Clamp application to control junctional hemorrhage in swine. J Trauma Acute Care Surg. 2014;77(3 Suppl 2):S101–8.

Article  PubMed  Google Scholar 

White JM, Cannon JW, Stannard A, Markov NP, Spencer JR, Rasmussen TE. Endovascular balloon occlusion of the aorta is superior to resuscitative thoracotomy with aortic clamping in a porcine model of hemorrhagic shock. Surgery. 2011;150(3):400–9.

Article  PubMed  Google Scholar 

Megan Brenner KI, Aiolfi A, DuBose J, Fabian T, Bee T, Holcomb JB, Moore L, Skarupa D, Scalea TM, AAST AORTA Study Group. Resuscitative Endovascular Balloon Occlusion of the Aorta and Resuscitative Thoracotomy in Select Patients with Hemorrhagic Shock: Early Results from the American Association for the Surgery of Trauma's Aortic Occlusion in Resuscitation for Trauma and Acute Care Surgery Registry - PubMed. J Am College Surgeons. 2018;226(5)

. Cralley AL, Vigneshwar N, Moore EE, Dubose J, Brenner ML, Sauaia A, et al. Zone 1 Endovascular Balloon Occlusion of the Aorta vs Resuscitative Thoracotomy for Patient Resuscitation After Severe Hemorrhagic Shock. JAMA Surg. 2023;158(2):140–50. This recent data contributes to the pool of studies that show better or similar survival using REBOA versus thoracotomy in patients indicated for aortic occlusion. This conflicts with additional studies also cited where this benefit is not well seen, and REBOA's definitive role in modern trauma care may remain undelineated. This study also speaks on future research of partial-occlusion REBOA, a development which may help bridge the gap between this treatment’s risks and benefits.

Article  PubMed  Google Scholar 

Joseph B, Zeeshan M, Sakran JV, Hamidi M, Kulvatunyou N, Khan M, et al. Nationwide Analysis of Resuscitative Endovascular Balloon Occlusion of the Aorta in Civilian Trauma. JAMA Surg. 2019;154(6):500–8.

Article  PubMed  PubMed Central  Google Scholar 

Jansen JO, Hudson J, Cochran C, MacLennan G, Lendrum R, Sadek S, et al. Emergency Department Resuscitative Endovascular Balloon Occlusion of the Aorta in Trauma Patients With Exsanguinating Hemorrhage: The UK-REBOA Randomized Clinical Trial. JAMA. 2023;330(19):1862–71 <b>The UK-REBOA Trial showed no benefit to REBOA compared to standard of care. Despite the critiques mentioned above, it contributes recent and high-quality evidence alongside other studies that have not observed benefits of REBOA implementation in trauma care. It will likely be cited frequently in future research, and development of new trauma guidelines</b>undefined.

Article  PubMed  PubMed Central  Google Scholar 

. Kemp MTWG, Williams AM, Biesterveld BE, O'Connell RL, Vercruysse CA, Chtraklin K, Russo RM, Alam HB. A novel partial resuscitative endovascular balloon aortic occlusion device that can be deployed in zone 1 for more than 2 hours with minimal provider titration - PubMed. The J Trauma Acute Care Surg. 2021;90(3):426–33. As mentioned earlier, if the proposed benefits of partial REBOA are observed in coming studies, its implementation as a novel technology and treatment will add further complexity to trauma management.

Article  CAS  PubMed  Google Scholar 

Sadek S, Lockey DJ, Lendrum RA, Perkins Z, Price J, Davies GE. Resuscitative endovascular balloon occlusion of the aorta (REBOA) in the pre-hospital setting: An additional resuscitation option for uncontrolled catastrophic haemorrhage. Resuscitation. 2016;107:135–8.

Article  PubMed  Google Scholar 

Cosgriff N, Moore EE, Sauaia A, Kenny-Moynihan M, Burch JM, Galloway B. Predicting life-threatening coagulopathy in the massively transfused trauma patient: hypothermia and acidoses revisited. J Trauma. 1997;42(5):857–61. discussion 61-2

Article  CAS  PubMed  Google Scholar 

Glass GE, Pearse MF, Nanchahal J. Improving lower limb salvage following fractures with vascular injury: a systematic review and new management algorithm. J Plast Reconstr Aesthet Surg. 2009;62(5):571–9.

Article  CAS 

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