JTS CPG ID: 18

Infographic 5 of 5
Damage Control Resuscitation

Medication Administration
Guidance

Administer calcium early. Do NOT administer...

• Give IV/IO calcium during or • Hydroxyethyl starch

immediately after first unit of (Hextend, Hespan)
blood to all hemorrhagic shock
patients, and then again after • Recombinant human activated
every four units factor VII (rhFVIIa)

• Monitor ionized calcium to for Damage Control

prevent hypocalcemia related to
massive transfusion Resuscitation.

https://jts.health.mil/index.cfm/PI_CPGs/cpgs
For the full CPG https://www.deployedmedicine.com
update, visit:

The Damage Control Resuscitation (DCR) Clinical Practice Guideline was updated based
on new evidence and approved by JTS leadership for full implementation in July 2019.

Defense Health Agency