Endeavors to improve competence of damage control operation in rescue care of war injury
War injuries often present as gunshot wounds,penetrating injuries,combined injuries involving multiple body cavities and complex trauma,characterized by high complexity and urgency,which pose a direct threat to the lives of the wounded.Damage control operation(DCO)is crucial for the successful management of severe war trauma and injury and serves as the foundation for achieving the goal of resuscitation.Enhancing surgical competence in early war injury care is vital for improving the medical support capacity in military operations.However,due to the lack of war injury care experience,the DCO competence of most military surgeons is not strong enough,which may lead to reduced treatment efficiency during wartime.Based on the injury care experience in the 21st-century combats,the authors overviewed DCO,highlighted the differences between DCO in peacetime and wartime,and explored the key points and common practices in implementing DCO for war injuries.It was proposed that only by performing DCO in accordance with the principles of war injury care within the golden hour,combined with damage control resuscitation(DCR),a"coordinated approach of surgery and resuscitation",can the rescue level of war injury be improved.
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