DAMAGE CONTROL LAPAROTOMY
Indication: Life-threatening abdominal injury or severe septic emergency in a physiologically compromised patient with hypothermia, coagulopathy, and acidosis (the 'lethal triad'). Abbreviated surgery to control haemorrhage and contamination, with planned return to theatre after resuscitation.
Patient Position: Supine.
Anaesthesia: General (rapid sequence induction).
Prophylactic Antibiotics: Broad-spectrum immediately.