Which action supports prevention of coagulopathy during damage control resuscitation?

• A. Use crystalloids only
• B. Use balanced transfusion of blood products early to prevent coagulopathy
• C. Avoid blood products
• D. Delay transfusion until imaging

Answer: (B)

In damage control resuscitation, preventing coagulopathy comes from hemostatic resuscitation—administering blood products early in a balanced mix so clotting factors, platelets, and fibrinogen are replenished as bleeding is controlled. Giving a balanced transfusion (for example, plasma, platelets, and red blood cells in a ratio that approximates whole blood) helps maintain the coagulation cascade and stops ongoing bleeding, rather than relying on crystalloids alone which dilute clotting factors and worsen coagulopathy. Delaying transfusion while imaging is performed or avoiding blood products would leave coagulopathy untreated and bleeding unchecked. Early balanced transfusion supports hemostasis and improves outcomes in severe trauma.