Damage control in the emergency department, a bridge to life.

Autor:	Quintero L; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Centro Médico Imbanaco, Cali, Colombia., Meléndez-Lugo JJ; Caja Costarricense del Seguro Social, Department of Surgery, San José, Costa Rica., Palacios-Rodríguez HE; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Caicedo Y; Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia., Padilla N; Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia., Gallego LM; Universidad Icesi, Cali, Colombia., Pino LF; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Hospital Universitario del Valle, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., García A; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Universidad Icesi, Cali, Colombia.; Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., González-Hadad A; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Centro Médico Imbanaco, Cali, Colombia.; Hospital Universitario del Valle, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Herrera MA; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Hospital Universitario del Valle, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Salcedo A; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Universidad Icesi, Cali, Colombia.; Hospital Universitario del Valle, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Serna JJ; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Universidad Icesi, Cali, Colombia.; Hospital Universitario del Valle, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Rodríguez-Holguín F; Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia., Parra MW; Broward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL - USA., Ordoñez CA; Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.; Universidad Icesi, Cali, Colombia.; Fundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.
Jazyk:	angličtina
Zdroj:	Colombia medica (Cali, Colombia) [Colomb Med (Cali)] 2021 May 30; Vol. 52 (2), pp. e4004801. Date of Electronic Publication: 2021 May 30.
DOI:	10.25100/cm.v52i2.4801
Abstrakt:	Patients with hemodynamic instability have a sustained systolic blood pressure less or equal to 90 mmHg, a heart rate greater or equal to 120 beats per minute and an acute compromise of the ventilation/oxygenation ratio and/or an altered state of consciousness upon admission. These patients have higher mortality rates due to massive hemorrhage, airway injury and/or impaired ventilation. Damage control resuscitation is a systematic approach that aims to limit physiologic deterioration through strategies that address the physiologic debt of trauma. This article aims to describe the experience earned by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia in the management of the severely injured trauma patient in the emergency department following the basic principles of damage control surgery. Since bleeding is the main cause of death, the management of the severely injured trauma patient in the emergency department requires a multidisciplinary team that performs damage control maneuvers aimed at rapidly controlling bleeding, hemostatic resuscitation, and/or prompt transfer to the operating room, if required. Competing Interests: Conflict of Interest: The authors declare that they have no conflict of interest. (Copyright © 2021 Colombia Medica.)
Databáze:	MEDLINE
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