Emergency preservation and resuscitation (EPR) may enhance survival in cases of noncompressible torso hemorrhage and traumatic cardiac arrest by inducing profound hypothermia. The technique allows for a hypometabolic state, reducing oxygen demand and delaying ischemic injury, potentially providing up to 60 minutes for controlling hemorrhage before surgery. Despite promising preclinical results showing improved survival rates, logistical challenges and risks associated with hypothermia limit its clinical implementation. EPR could significantly impact combat trauma management, especially in prolonged evacuation scenarios.

Source: Trauma Surgery & Acute Care Open