There are five principles of DCR
- Damage Control Surgery
- Correct coagulopathy
- Avoid hypothermia
- Limit volume (using only blood/blood products)
- Time-limited permissive hypotension.
28 june 2024
Our eHealth team advised us yesterday of an international vulnerability relating to polyfill.io . This domain has become compromised and is spreading malware through a widespread supply chain attack, estimated to affect over 110,000 websites including major websites such as the BBC. The Polyfill site offered widely used bits of code for older browsers that allowed the use of modern Javascript features. Such code makes the work for web developers easier and allows compatibility with a broader range of browsers.
Websites that have used the Javascript code from Polyfill have been urged to remove such code immediately. The change occurred after a suspected Chinese firm purchased the domain in early 2024.
Tactuum have identified and are now testing a fix to remove all Polyfill code from the RDS site.. They will be deploying the fix on Monday 1 July along with other planned fixes and amendments. I will notify you of the timing of the deployment as soon as possible.
In the meantime, please ensure that you have up-to-date anti-virus software installed on your machines and personal devices.
DCR should be employed in all patients with active haemorrhage who have ANY of the following:
The Theatre coordinator is included in a code red trauma team alert. They are tasked with identifying an available theatre and team to accommodate an expected patient until stood down by anaesthetist or ODP.
All unstable code red patients will ideally, but not always go to theatre. This may include Orthopaedic & Cardiothoracic patients.