Damage control surgery

Crit Care Clin. 2004 Jan;20(1):101-18. doi: 10.1016/s0749-0704(03)00095-2.


Damage control is a staged approach to severely injured patients predicated on treatment priorities. Initially, life-threatening injuries are addressed expediently, and procedures are truncated. Normal physiology is restored in the ICU, and patients subsequently are returned to the operating room for definitive management. This strategy breaks the bloody vicious cycle and results in improved outcomes. Novel technologies like CAVR and rFVIIa contribute to the effectiveness of damage control.

Publication types

  • Review

MeSH terms

  • Acidosis* / etiology
  • Acidosis* / therapy
  • Critical Care / methods*
  • Hemorrhage*
  • Humans
  • Hypothermia / etiology*
  • Hypothermia / therapy
  • Intraoperative Complications*
  • Oxygen / administration & dosage
  • Rewarming
  • Wounds and Injuries / surgery*


  • Oxygen