2013 Volume 27 Issue 2 Pages 77-82
The aim of this review is to summarize the current situation of trauma resuscitation. Opinions on resuscitation for severe trauma with hemorrhagic shock have changed internationally in recent years. The current strategies for trauma resuscitation are restrictive fluid resuscitation, i.e. permissive hypotension, hemostatic resuscitation with blood components, blind protocol-driven administration of coagulation factors (begun early), and abbreviated initial surgery (damage control) or planned definitive surgery after resuscitation is complete, or angioembolization if needed.
So-called "damage control resuscitation" is the basic concept of these strategies. When it is adopted in Japan, the work of many skilled individuals, such as acute care surgeons, interventional radiologists, anesthesiologists and intensive care physicians will need to be integrated, as well as all resources needed for trauma care in a specialized medical facility for severely injured patients, that is, a trauma center. It is difficult to introduce a Western-style trauma care system in Japan because the Japanese medical system is quite different ; however, we hope that a trauma center adapted to Japan will be constructed soon and more qualified trauma care will be available to injured patients at all times in order to save lives.