Damage control resuscitation (DCR) refers to an ongoing, mobile process that includes, but is not limited to, early blood product transfusion in the context of a massive transfusion protocol, minimization of crystalloid fluid administration, permissive hypotension, early transfer to the site needed to arrest hemorrhage, abbreviated operative or percutaneous intervention, sustained critical care, and a return for definitive surgical care when the patient is able. DCR may also include the use of balloon catheter tamponade and/or placement of temporary intravascular shunts.