What does DCR mean in HOSPITALS

Damage Control Resuscitation (DCR) is an approach to emergency resuscitation and trauma management which focuses on maintaining the vital circulatory, respiratory and cardiovascular functions of the patient while simultaneously controlling internal and external bleeding.

DCR is used when a patient has sustained severe injuries that are life-threatening. It is important that the steps taken during DCR are done quickly so as to maintain appropriate levels of oxygenation and blood pressure in order to reduce morbidity and mortality rates.

The goals of DCR are to improve the long-term outcomes for trauma victims by ensuring that their vital systems remain functioning properly; control any external or internal bleeding; provide ongoing monitoring for any changes in condition; reduce morbidity and mortality rates; ensure rapid transport of the patient to definitive care; and reduce preventable complications due to improper intervention or delay in treatment.

The steps involved in DCR include providing adequate oxygenation via endotracheal intubation or mask ventilation if necessary; controlling hemorrhage through direct pressure or tourniquet application if needed; providing fluid resuscitation using isotonic crystalloid solution; providing analgesia and sedation as appropriate; performing focused assessment with sonography for trauma or FAST scan if necessary; preparing for transport with decompression kit ready at hand; working rapidly towards definitive care as soon as possible once initial stabilization has been achieved.