Surgical perspectives to control bleeding in trauma

Summary Control of blood loss is one of the most important priorities in the trauma patient. Several methods of obtaining hemostasis have been discussed. These include standard surgical techniques such as digital pressure and sutures and pharmacological methods, specifically topical hemostatic agents. Each of these hemostatic agents has particular advantages and disadvantages and must be applied to the appropriate situation. There are other invasive techniques for hemorrhage control that may not be performed by the surgeon but that must be orchestrated by the surgeon into a clear strategy to stop the bleeding. The anesthesiologist has an important role in helping to control hemorrhage by appropriate transfusion therapy and maintaining normal patient body temperature. Effective communication between the surgeon and anesthesiologist must be a high priority.