Remote Damage Controle Resuscitation Flashcards
What are the components of DCR?
Level of consciousnes
RR
Radial wel/niet
Pulse rate
BP
Lactate
UO
What is permissive hypotension?
A bp that you can affort in the situation.
From 80 (quick medivac) till 100/110 PFC.
What are you monitoring by permissive hypotension?
Consciousness
RR
Radial weak/absent
Pulse rate
BP
Lactate
UO
What happens if the blood pressure gets to high?
The clot can come lose, trombose can accure. More internal bleeding.
Why dont you give clear fluid with a hemorhage?
Because it dilute and disturbs the coagulation?
What is the best-worst option for a hemorhage?
Plasma
Crystalloid
Whole blood
Colloid
1:1:1
Whole blood
1:1:1
Plasma
Colloid
Crystalloid
Why do we need blood?
Red cells - O2
Leucosytes and antibodies (immune)
Platelets
PH
Hormones
Nutrients
Water
Other proteins
What do we need for oxygen delivery? (Formula)
Hgb
Sat O2
CO
What is primary and secondary hemostasis coagulopathie?
Primary activation of platelets and activate coagulation and vasoconstriction.
Secondary fibrin and thrombus formation. Calcium needed in every step.
What are the meanings of:
Field:
FWB
WFWB
Stored:
CWB
SWB
CSWBLTOWB
Field:
FWB - fresh whole blood
WFWB - warm fresh whole blood
Stored:
CWB - cold whole blood
SWB - stored whole blood
CSWB - cold stored whole blood
LTOWB - Low titer type O whole blood
What is the order of giving 1:1:1?
Plasma
RBC
Platelets
What is the number one blood?
LTOWB
What are the risks for fresh whole blood?
Bigger inflammatory reaction
Bigger risk for organ failures
What is shock?
Hypo-perfusion in the tissue
What are the three signs of shock?
MOI
Weak or absent pulse
Altered state
