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dc.contributor.authorWoolley, Thomas
dc.contributor.authorThompson, Patrick
dc.contributor.authorKirkman, Emrys
dc.contributor.authorReed, Richard
dc.contributor.authorAusset, Sylvain
dc.contributor.authorBeckett, Andrew
dc.contributor.authorBjerkvig, Christopher
dc.contributor.authorCap, Andrew
dc.contributor.authorCoats, Tim
dc.contributor.authorCohen, Mitchell
dc.contributor.authorDespasquale, Marc
dc.contributor.authorDorlac, Warren
dc.contributor.authorDoughty, Heidi
dc.contributor.authorDutton, Richard
dc.contributor.authorEastridge, Brian
dc.contributor.authorGlassberg, Elon
dc.contributor.authorHudson, Anthony
dc.contributor.authorJenkins, Donald
dc.contributor.authorKeenan, Sean
dc.contributor.authorMartinaud, Christophe
dc.contributor.authorMiles, Ethan
dc.contributor.authorMoore, Ernest
dc.contributor.authorNordmann, Giles
dc.contributor.authorPrat, Nicolas
dc.contributor.authorRappold, Joseph
dc.contributor.authorReade, Michael C.
dc.contributor.authorRees, Paul
dc.contributor.authorRickard, Rory
dc.contributor.authorSchreiber, Martin
dc.contributor.authorShackelford, Stacy
dc.contributor.authorSkogran Eliassen, Håkon
dc.contributor.authorSmith, Jason
dc.contributor.authorSmith, Mike
dc.contributor.authorSpinella, Philip
dc.contributor.authorStrandenes, Geir
dc.contributor.authorWard, Kevin
dc.contributor.authorWatts, Sarah
dc.contributor.authorWhite, Nathan
dc.contributor.authorWilliams, Steve
dc.identifier.citationWoolley , T , Thompson , P , Kirkman , E , Reed , R , Ausset , S , Beckett , A , Bjerkvig , C , Cap , A , Coats , T , Cohen , M , Despasquale , M , Dorlac , W , Doughty , H , Dutton , R , Eastridge , B , Glassberg , E , Hudson , A , Jenkins , D , Keenan , S , Martinaud , C , Miles , E , Moore , E , Nordmann , G , Prat , N , Rappold , J , Reade , M C , Rees , P , Rickard , R , Schreiber , M , Shackelford , S , Skogran Eliassen , H , Smith , J , Smith , M , Spinella , P , Strandenes , G , Ward , K , Watts , S , White , N & Williams , S 2018 , ' Trauma Hemostasis and Oxygenation Research Network position paper on the role of hypotensive resuscitation as part of remote damage control resuscitation ' , The Journal of Trauma Acute Care Surgery , vol. 84 , no. 6S , pp. S3-S13 .
dc.identifier.otherPURE: 255979913
dc.identifier.otherPURE UUID: c75fc588-847c-4cdc-be11-cc04423122c7
dc.identifier.otherORCID: /0000-0002-6560-6332/work/48774909
dc.identifier.otherScopus: 85053817232
dc.identifier.otherWOS: 000451383700002
dc.description.abstractThe Trauma Hemostasis and Oxygenation Research (THOR) Network has developed a consensus statement on the role of permissive hypotension in remote damage control resuscitation (RDCR). A summary of the evidence on permissive hypotension follows the THOR Network position on the topic. In RDCR, the burden of time in the care of the patients suffering from noncompressible hemorrhage affects outcomes. Despite the lack of published evidence, and based on clinical experience and expertise, it is the THOR Network’s opinion that the increase in prehospital time leads to an increased burden of shock, which poses a greater risk to the patient than the risk of rebleeding due to slightly increased blood pressure, especially when blood products are available as part of prehospital resuscitation. The THOR Network’s consensus statement is, “In a casualty with life-threatening hemorrhage, shock should be reversed as soon as possible using a blood-based HR fluid. Whole blood is preferred to blood components. As a part of this HR, the initial systolic blood pressure target should be 100 mm Hg. 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 systolic blood pressure is believed to be effective in promoting hemostasis and reversing shock”
dc.relation.ispartofThe Journal of Trauma Acute Care Surgeryen
dc.rights© 2018, Lippincott Williams & Wilkins, Inc. This work has been made available online in accordance with the publisher’s policies. This is the author created accepted version manuscript following peer review and as such may differ slightly from the final published version. The final published version of this work is available at
dc.subjectRD Surgeryen
dc.titleTrauma Hemostasis and Oxygenation Research Network position paper on the role of hypotensive resuscitation as part of remote damage control resuscitationen
dc.typeJournal articleen
dc.contributor.institutionUniversity of St Andrews. School of Medicineen
dc.contributor.institutionUniversity of St Andrews. Population and Behavioural Science Divisionen
dc.description.statusPeer revieweden

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