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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...

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Autores principales: 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
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidad del Valle 2020
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.
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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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