The triad of hypothermia, acidosis, and coagulopathy during initial operativa and resuscitation efforts has been recognized as a significant cause of death in patients with traumatic injuries. A staged surgical approach with a brief initial laparotomy, subsequent intensive care unit resuscitation, and a planned reoperation is an emerging technique used in trauma surgery, with application to a variety of other surgical challenges. Successful damage control therapy requires a coordinated multidisciplinary team effort by a trauma learn experienced in the process of damage control operations, intensive care unit priorities, and potential complications o! this innovative surgical approach

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