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Master of Public Health

Damage-control resuscitation increases successful nonoperative management rates and survival after severe blunt liver injury.

AUTHORS

Shrestha B , Holcomb JB , Camp EA , Del Junco DJ , Cotton BA , Albarado R , Gill BS , Kozar RA , Kao LS , McNutt MK , Moore LJ , Love JD , Tyson GH , Adams PR , Khan S , Wade CE , . The journal of trauma and acute care surgery. 2015 2 1; 78(2). 336-41

ABSTRACT

Nonoperative multidisciplinary management for severe (American Association for the Surgery of Trauma Grades IV and V) liver injury has been used for two decades. We have previously shown that Damage Control Resuscitation (DCR) using low-volume, balanced resuscitation improves survival of severely injured trauma patients; however, little attention has been paid to organ-specific outcomes. We wanted to determine if implementation of DCR has improved survival and successful nonoperative management after severe blunt liver injury.

Nonoperative multidisciplinary management for severe (American Association for the Surgery of Trauma Grades IV and V) liver injury has been used for two decades. We have previously shown that Damage Control Resuscitation (DCR) using low-volume, balanced resuscitation improves survival of severely injured trauma patients; however, little attention has been paid to organ-specific outcomes. We wanted to determine if implementation of DCR has improved survival and successful nonoperative management after severe blunt liver injury.

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