Noncompressible Torso Hemorrhage. A Review with Contemporary Definitions and Management Strategies

Jonathan J. Morrison, Todd E. Rasmussen*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

155 Scopus citations

Abstract

Trauma resulting in hemorrhage from vascular disruption within the torso is a challenging scenario, with a propensity to be lethal in the first hour following trauma. The term noncompressible torso hemorrhage (NCTH) was only recently coined as part of contemporary studies describing the epidemiology of wounding during the wars in Afghanistan and Iraq. This article provides a contemporary review of NCTH, including a unifying definition to promote future study as well as a description of resuscitative and operative management strategies to be used in this setting, and sets a course for research to improve mortality following this vexing injury pattern.

Original languageEnglish
Pages (from-to)843-858
Number of pages16
JournalSurgical Clinics of North America
Volume92
Issue number4
DOIs
StatePublished - Aug 2012
Externally publishedYes

Keywords

  • Damage-control resuscitation
  • Damage-control surgery
  • Military surgery
  • Noncompressible torso hemorrhage
  • Trauma surgery

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