Tiny bodies, big battles: Damage Control resuscitation goes pediatric.

The United States military has pioneered advancements in trauma medical care since World War I. During the conflicts in the Middle East, the Joint Trauma System formalized combat trauma research, allowing for rapid advancements in resuscitative care. Military providers in austere settings adopted the principles of adult damage control resuscitation for combat-injured children. The resultant research spearheaded a similar transition for the treatment of injured children in a civilian setting. This chapter discusses military and civilian advancements in pediatric damage control resuscitation, such as control of exsanguinating hemorrhage, recognition of pediatric signs of shock, and early balanced blood product administration.