There are five principles of DCR
- Damage Control Surgery
- Correct coagulopathy
- Avoid hypothermia
- Limit volume (using only blood/blood products)
- Time-limited permissive hypotension.
We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. You will see that each toolkit has a small QR code icon in the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.
You may need to actively update to the latest release - RDS app version 4.7.1 - to see this improvement.
Updating to this latest version of the RDS app is also strongly recommended to get the full benefits of the new resilience arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits. To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:
On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.
On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.
Please get in touch with ann.wales3@nhs.scot with any questions.
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.