Damage Control Resuscitation in Combat Trauma: Role 1 and Role 2
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Battlefield hemorrhage rarely follows the timelines assumed by standard trauma protocols. This lecture reframes Damage Control Resuscitation for Role 1 and Role 2, where evacuation may be delayed, blood products are limited, and every decision must preserve the patient’s path to definitive hemorrhage control.
The session connects trauma-induced coagulopathy, hypothermia, acidosis, and hypocalcemia with practical actions: identifying patients who require DCR, prioritizing whole blood and balanced component therapy, using tranexamic acid and calcium, preventing heat loss, defining resuscitation targets, and deciding when airway intervention helps—or harms.
A severe penetrating-trauma case anchors the discussion: cardiac arrest at Role 1, massive transfusion at Role 2, and a 17-liter resuscitation that depended heavily on warm fresh donor blood. The closing discussion explores vasopressors in hemorrhagic shock, intubation before prolonged evacuation, and renal protection after extensive soft-tissue injury—where clear algorithms give way to difficult clinical judgment.
The session connects trauma-induced coagulopathy, hypothermia, acidosis, and hypocalcemia with practical actions: identifying patients who require DCR, prioritizing whole blood and balanced component therapy, using tranexamic acid and calcium, preventing heat loss, defining resuscitation targets, and deciding when airway intervention helps—or harms.
A severe penetrating-trauma case anchors the discussion: cardiac arrest at Role 1, massive transfusion at Role 2, and a 17-liter resuscitation that depended heavily on warm fresh donor blood. The closing discussion explores vasopressors in hemorrhagic shock, intubation before prolonged evacuation, and renal protection after extensive soft-tissue injury—where clear algorithms give way to difficult clinical judgment.
TRAUMA-01
Course
Hemorrhagic Shock, Damage Control Resuscitation, and Damage Control Surgery
01
1:08:23
Battlefield Hypothermia & Damage Control Resuscitation: Target Blood Heating TemperaturesAn evidence-based presentation on managing hypothermia in combat trauma, featuring experimental data on blood warming up to 42°C and team workflows in the resuscitation bay.
02
59:16
Damage Control Resuscitation Without a KnifeA physiology-first approach to damage control resuscitation in war trauma, focused on what can keep a bleeding casualty alive when evacuation, blood products, equipment, and time are severely limited.
03
57:29 Now playing
Damage Control Resuscitation in Combat Trauma: Role 1 and Role 2A practical lecture on damage control resuscitation at Role 1 and Role 2—from lethal-triad physiology to blood-product strategy under battlefield constraints.
04
1:06:32
Trauma-Induced Coagulopathy: Pathophysiology and Treatment PrinciplesA clinically grounded webinar on trauma-induced coagulopathy: why bleeding control must be definitive, when standard coagulation tests fall short, and how DCR, DCS, ROTEM and blood-based resuscitation fit into the first critical hour.
05
1:00:49
POCUS Beyond eFAST: Clinical Decisions in Shock and TraumaThree trauma cases show how bedside ultrasound can clarify shock physiology, assess limb perfusion, reveal gastrointestinal complications, and guide high-stakes decisions beyond the standard eFAST protocol.
06
2:04:18
Hostile Environment Surgery: Damage Control for Combat TraumaA practical front-line lecture on damage control surgery in a hostile environment, built from early war experience near Orikhiv and focused on decisions that save life and preserve function when time, staff, light, water, and equipment are limited.
Damage Control Resuscitation in Combat Trauma: Role 1 and Role 2