All are criteria for damage control surgery except
Correct Answer: Serum lactate <2 mmol/L
Description: Early total care describes the definitive management of a patient&;s injuries within 36 hours of injury after a period of initial resuscitationDamage control surgery describes simultaneous resuscitation with early rapid life- and limb-saving surgery. Time-consuming definitive surgery is deferred until the patient's physiological status allowsCriteria for damage control surgery (DCS)and early total care (ETC).Criteria for DCS Criteria for ETCHypothermia: <34degC NormothermiaAcidosis: pH <7.2No hypoxaemia, no hypercapniaSerum lactate >5 mmol/LSerum lactate <2 mmol/LCoagulopathy Normal coagulationBlood pressure <70 mmHg Stable haemodynamicsTransfusion approaching15 units No need for vasoactive/inotropic stimulationInjury severity score >36 Urinary output >1 mL/kg/hourBailey and Love 27e pg:319
Category:
Surgery
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