Table 1

Inclusion and exclusion criteria for the DCL trial

Eligible criteria must meet all of the following	Ineligible criteria must meet at least one of the following criteria
Time in emergency department ≤90 min Admission to operating room directly from emergency department or interventional radiology Age ≥16 years Surgeon believes an indication for damage control exists	The indication for DCL is: ▸ Need for gauze packing of liver or retroperitoneum ▸ Immediate need to go to interventional radiology for hemorrhage control ▸ Concern for abdominal compartment syndrome—inability to reapproximate fascia or >10 mm Hg increase in peak airway pressure during fascial closure ▸ Persistent hypotension (<90 mm Hg), ongoing transfusions, and/or continuous vasopressor use Negative or non-therapeutic laparotomy Isolated cystorrhaphy Prisoners Known pregnancy Burns >20% total body surface area Patient or legally authorized representative has opted out of the study

Eligible criteria must meet all of the following

Ineligible criteria must meet at least one of the following criteria

Time in emergency department ≤90 min
Admission to operating room directly from emergency department or interventional radiology
Age ≥16 years
Surgeon believes an indication for damage control exists

The indication for DCL is:
- ▸ Need for gauze packing of liver or retroperitoneum
- ▸ Immediate need to go to interventional radiology for hemorrhage control
- ▸ Concern for abdominal compartment syndrome—inability to reapproximate fascia or >10 mm Hg increase in peak airway pressure during fascial closure
- ▸ Persistent hypotension (<90 mm Hg), ongoing transfusions, and/or continuous vasopressor use
Negative or non-therapeutic laparotomy
Isolated cystorrhaphy
Prisoners
Known pregnancy
Burns >20% total body surface area
Patient or legally authorized representative has opted out of the study