Damage control resuscitation

• Damage control resuscitation involves hemorrhage control, careful use of crystalloids, and early delivery of high ratios of FFP to RBCs.
• Tranexamic acid (TXA) acts as an anti-fibrinolytic and should be strongly considered in patients requiring massive transfusion.
• Prehospital permissive hypotension should be considered for alert trauma patients with a palpable radial pulse.