{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T10:27:49Z","timestamp":1778063269699,"version":"3.51.4"},"reference-count":121,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J R Army Med Corps"],"accepted":{"date-parts":[[2016,7,1]]},"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Despite the early uses of tourniquets and haemostatic dressings, blood loss still accounts for the vast majority of preventable deaths on the battlefield. Over the last few years, progress has been made in the management of such injuries, especially with the use of damage control resuscitation concepts. The early application of these procedures, on the field, may constitute the best opportunity to improve survival from combat injury during remote operations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Data sources<\/jats:title>\n                  <jats:p>Currently available literature relating to trauma-induced coagulopathy treatment and far-forward transfusion was identified by searches of electronic databases. The level of evidence and methodology of the research were reviewed for each article. The appropriateness for field utilisation of each medication was then discussed to take into account the characteristics of remote military operations.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>In tactical situations, in association with haemostatic procedures (tourniquet, suture, etc), tranexamic acid should be the first medication used according to the current guidelines. The use of fibrinogen concentrate should also be considered for patients in haemorrhagic shock, especially if point-of-care (POC) testing of haemostasis or shock severity is available. If POC evaluation is not available, it seems reasonable to still administer this treatment after clinical assessment, particularly if the evacuation is delayed. In this situation, lyophilised plasma may also be given as a resuscitation fluid while respecting permissive hypotension. Whole blood transfusion in the field deserves special attention. In addition to the aforementioned treatments, if the field care is prolonged, whole blood transfusion must be considered if it does not delay the evacuation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jramc-2016-000628","type":"journal-article","created":{"date-parts":[[2016,8,16]],"date-time":"2016-08-16T22:38:44Z","timestamp":1471387124000},"page":"419-427","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":37,"title":["Tactical damage control resuscitation in austere military environments"],"prefix":"10.1136","volume":"162","author":[{"given":"Yann","family":"Daniel","sequence":"first","affiliation":[{"name":"Antenne m\u00e9dicale sp\u00e9cialis\u00e9e, Base des Fusiliers Marins et des Commandos, Lanester, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Habas","sequence":"additional","affiliation":[{"name":"Antenne m\u00e9dicale sp\u00e9cialis\u00e9e, Base des Fusiliers Marins et des Commandos, Lanester, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Malan","sequence":"additional","affiliation":[{"name":"Antenne m\u00e9dicale sp\u00e9cialis\u00e9e, Base des Fusiliers Marins et des Commandos, Lanester, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Escarment","sequence":"additional","affiliation":[{"name":"H\u00f4pital d'Instruction des Arm\u00e9es Desgenettes, Lyon, France"},{"name":"Direction R\u00e9gionale du Service de Sant\u00e9 des Arm\u00e9es, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J-S","family":"David","sequence":"additional","affiliation":[{"name":"Service d'Anesth\u00e9sie R\u00e9animation, H\u00f4pital Edouard Herriot, Lyon, France"},{"name":"Universit\u00e9 Claude Bernard, Lyon, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Peyrefitte","sequence":"additional","affiliation":[{"name":"Antenne m\u00e9dicale sp\u00e9cialis\u00e9e, Base des Fusiliers Marins et des Commandos, Lanester, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,16]]},"reference":[{"key":"2025081309314559000_162.6.419.1","doi-asserted-by":"crossref","first-page":"S395","DOI":"10.1097\/TA.0b013e3182754850","article-title":"Battlefield trauma care then and now: a decade of Tactical Combat Casualty Care","volume":"73","author":"Butler","year":"2012","journal-title":"J Trauma Acute Care Surg"},{"key":"2025081309314559000_162.6.419.2","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182755662"},{"key":"2025081309314559000_162.6.419.3","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e3182755dcc"},{"key":"2025081309314559000_162.6.419.4","unstructured":"Service de Sant\u00e9 des Arm\u00e9es, Ecole du Val-de-Gr\u00e2ce. 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