Application of damage control strategy guiding first aid of pre-hospital and in-hospital model in critically ill patients
ZHOU Renli
LIU Yongzhong
LI Xiaozhen
Abstract：Objective To explore the integration of emergency damage control mode , the effect of the policy applied in critically ill patients in the pre-hospital/in-hospital.Methods Retrospective analysis of 82 patients critically ill trauma clinical data.From Oct,2010 to Mar,2012,patients were took regular first aid emergency mode is set to the control group ( n =40),from Apr,2012 to Sep,2013,patients were took damage control mode integrated emergency first aid strategy were set as observation group ( n =42),comparing two groups'treatment effect.Results Temperature recovery time of the observation group, lactate clearance time and PT, APTT recovery time(8.8 h ±1.3 h,11.3 h ±4.2 h,13.2 h ±4.7 h,28.9 h ±3.2 h), are shorter than the control group (14.7 h ±3.6 h, 32.3 h ±7.5 h, 29.6 h ±17.5 h, 39.3 h ±4.2 h), the difference was statistically significant ( P <0.01).2 groups'operative time and blood loss in patients showed no statistically significant differences ( P >0.05);hospital stay (27.6 d ±8.6 d), ICU monitoring time (10.3 d ±5.7 d) were significantly shorter than the control group (21.4 d ±7.9 d, 8.4 d ±5.1 d),the success rate higher in the observation group (92.86% vs. 82.50%), postoperative complication rate (21.43%) were significantly lower than the control group (47.50%, P <0.01). Conclusion Critically ill patients pre-hospital/in hospital emergency first aid in damage control mode integration strategy can significantly improve the physiological state , reduce mortality and complications , improve the success rate .
Keywords：Damage control strategyIntegrated emergency modeCritically ill
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 389-391 )