Trauma Hemostasis And Oxygenation Research (THOR) Network Position Paper On The Role Of Hypotensive Resuscitation As Part Of Remote Damage Control Resuscitation

In a casualty with life-threatening hemorrhage, shock should be reversed as soon as possible using a blood-based hemostatic resuscitation fluid. Whole blood is preferred to blood components. As a part of this hemostatic resuscitation, the initial systolic blood pressure (SBP) target should be 100 mm Hg. Remote Damage Control Resuscitation (RDCR) has previously been defined as the prehospital application of damage control resuscitation. In RDCR, it is vital for higher echelon care providers to receive a casualty with sufficient physiologic reserve to survive definitive surgical hemostasis and aggressive resuscitation. The combined use of blood-based resuscitation and limiting SBP is believed to be effective in promoting hemostasis and reversing shock.