ABSTRACT
Complete resuscitation is the restoration of homeostasis at the systemic, organ, tissue, and cellular level, following a disruptive insult. Initial resuscitative efforts (Volume 1, Chapter 12) commence in the trauma resuscitation suite (TRS) or occasionally in the prehospital period (Volume 1, Chapter 3). These initial interventions may elevate the patient from severe shock into a compensated shock state in which homeostasis is partially restored. Patients existing in this incompletely resuscitated condition can rapidly deteriorate in the operating room (OR) or in the surgical intensive care unit (SICU) unless ongoing resuscitation goals are met. No predefined duration of the resuscitation period exists. However, for the purpose of this textbook, the stage occurring after the patient leaves the TRS is referred to as the “ongoing resuscitation period” and is the subject of this chapter.
