Remote damage control resuscitation and the Solstrand Conference: defining the need, the language, and a way forward

摘要

To the victim of trauma, time is the enemy.1 While the advent of out-of-hospital emergency care has extended the "Golden Hour," longer time intervals between injury and resuscitative surgical intervention remain primary contributors to the modern epidemic of trauma mortality.2'3 Yet, despite sizeable outlays in financial and intellectual resources into research, relatively little is known about the sequence of pathophysiologic events that commence with hemorrhage, then progress if unchecked toward coagulopathy, hemorrhagic shock, exsanguina-tion, and death in the temporal period before trauma center arrival.