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Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient
Trauma is a complex pathology that requires an experienced multidisciplinary team with an inherent quick decision-making capacity, given that a few minutes could represent a matter of life or death. These management decisions not only need to be quick but also accurate to be able to prioritize and t...
Autores principales: | , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Universidad del Valle
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968424/ https://www.ncbi.nlm.nih.gov/pubmed/33795900 http://dx.doi.org/10.25100/cm.v51i4.4362 |
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author | Ordoñez, Carlos A. Parra, Michael W. Holguín, Alfonso García, Carlos Guzmán-Rodríguez, Mónica Padilla, Natalia Caicedo, Yaset Orlas, Claudia García, Alberto Rodríguez-Holguín, Fernando Serna, José Julián Serna, Carlos |
author_facet | Ordoñez, Carlos A. Parra, Michael W. Holguín, Alfonso García, Carlos Guzmán-Rodríguez, Mónica Padilla, Natalia Caicedo, Yaset Orlas, Claudia García, Alberto Rodríguez-Holguín, Fernando Serna, José Julián Serna, Carlos |
author_sort | Ordoñez, Carlos A. |
collection | PubMed |
description | Trauma is a complex pathology that requires an experienced multidisciplinary team with an inherent quick decision-making capacity, given that a few minutes could represent a matter of life or death. These management decisions not only need to be quick but also accurate to be able to prioritize and to efficiently control the injuries that may be causing impending hemodynamic collapse. In essence, this is the cornerstone of the concept of damage control trauma care. With current technological advances, physicians have at their disposition multiple diagnostic imaging tools that can aid in this prompt decision-making algorithm. This manuscript aims to perform a literature review on this subject and to share the experience on the use of whole body computed tomography as a potentially safe, effective and efficient diagnostic tool in cases of severely injured trauma patients regardless of their hemodynamic status. Our general recommendation is that, when feasible, perform a whole body computed tomography without interrupting ongoing hemostatic resuscitation in cases of severely injured trauma patients with or without signs of hemodynamic instability. The use of this technology will aid in the decision-making of the best surgical approach for these patients without incurring any delay in definitive management and/or increasing significantly their radiation exposure. |
format | Online Article Text |
id | pubmed-7968424 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Universidad del Valle |
record_format | MEDLINE/PubMed |
spelling | pubmed-79684242021-03-31 Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient Ordoñez, Carlos A. Parra, Michael W. Holguín, Alfonso García, Carlos Guzmán-Rodríguez, Mónica Padilla, Natalia Caicedo, Yaset Orlas, Claudia García, Alberto Rodríguez-Holguín, Fernando Serna, José Julián Serna, Carlos Colomb Med (Cali) Review Trauma is a complex pathology that requires an experienced multidisciplinary team with an inherent quick decision-making capacity, given that a few minutes could represent a matter of life or death. These management decisions not only need to be quick but also accurate to be able to prioritize and to efficiently control the injuries that may be causing impending hemodynamic collapse. In essence, this is the cornerstone of the concept of damage control trauma care. With current technological advances, physicians have at their disposition multiple diagnostic imaging tools that can aid in this prompt decision-making algorithm. This manuscript aims to perform a literature review on this subject and to share the experience on the use of whole body computed tomography as a potentially safe, effective and efficient diagnostic tool in cases of severely injured trauma patients regardless of their hemodynamic status. Our general recommendation is that, when feasible, perform a whole body computed tomography without interrupting ongoing hemostatic resuscitation in cases of severely injured trauma patients with or without signs of hemodynamic instability. The use of this technology will aid in the decision-making of the best surgical approach for these patients without incurring any delay in definitive management and/or increasing significantly their radiation exposure. Universidad del Valle 2020-12-30 /pmc/articles/PMC7968424/ /pubmed/33795900 http://dx.doi.org/10.25100/cm.v51i4.4362 Text en Copyright © 2020 Colombia Medica https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Review Ordoñez, Carlos A. Parra, Michael W. Holguín, Alfonso García, Carlos Guzmán-Rodríguez, Mónica Padilla, Natalia Caicedo, Yaset Orlas, Claudia García, Alberto Rodríguez-Holguín, Fernando Serna, José Julián Serna, Carlos Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title | Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title_full | Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title_fullStr | Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title_full_unstemmed | Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title_short | Whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
title_sort | whole-body computed tomography is safe, effective and efficient in the severely injured hemodynamically unstable trauma patient |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7968424/ https://www.ncbi.nlm.nih.gov/pubmed/33795900 http://dx.doi.org/10.25100/cm.v51i4.4362 |
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