Gen surgery Trauma

Q) Which of the following is not a component of damage control Resuscitation?

a) Permissive Hypotension

b) More  Crystalloid use

c) Initial use of 5% saline

d) Early use of blood products

Ans b More crystalloids ( which should be used minimally) 

Crystalloid solutions are  the primary cause of the inflammatory process after traumatic hemorrhagic shock

Permissive hypotension until definitive surgical control
• Minimize crystalloid use
• Initial use of 5% hypertonic saline
• Early use of blood products (PRBCs, FFP, platelets, cryoprecipitates)
• Consider drugs to treat coagulopathy (rFVIIa, prothrombin complex concentrate, TXA)

Ref Sabiston 21 page 69