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Damage control in the emergency department, a bridge to life

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 hig...

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Autores principales: Quintero, Laureano, Meléndez-Lugo, Juan José, Palacios-Rodríguez, Helmer Emilio, Padilla, Natalia, Gallego, Linda M., Pino, Luis Fernando, García, Alberto, González-Hadad, Adolfo, Herrera, Mario Alain, Salcedo, Alexander, Serna, José Julián, Rodríguez-Holguín, Fernando, Parra, Michael W., Ordoñez, Carlos A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Universidad del Valle 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8216048/
https://www.ncbi.nlm.nih.gov/pubmed/34188318
http://dx.doi.org/10.25100/cm.v52i2.4801
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author Quintero, Laureano
Meléndez-Lugo, Juan José
Palacios-Rodríguez, Helmer Emilio
Padilla, Natalia
Gallego, Linda M.
Pino, Luis Fernando
García, Alberto
González-Hadad, Adolfo
Herrera, Mario Alain
Salcedo, Alexander
Serna, José Julián
Rodríguez-Holguín, Fernando
Parra, Michael W.
Ordoñez, Carlos A.
author_facet Quintero, Laureano
Meléndez-Lugo, Juan José
Palacios-Rodríguez, Helmer Emilio
Padilla, Natalia
Gallego, Linda M.
Pino, Luis Fernando
García, Alberto
González-Hadad, Adolfo
Herrera, Mario Alain
Salcedo, Alexander
Serna, José Julián
Rodríguez-Holguín, Fernando
Parra, Michael W.
Ordoñez, Carlos A.
author_sort Quintero, Laureano
collection PubMed
description 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.
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spelling pubmed-82160482021-06-28 Damage control in the emergency department, a bridge to life Quintero, Laureano Meléndez-Lugo, Juan José Palacios-Rodríguez, Helmer Emilio Padilla, Natalia Gallego, Linda M. Pino, Luis Fernando García, Alberto González-Hadad, Adolfo Herrera, Mario Alain Salcedo, Alexander Serna, José Julián Rodríguez-Holguín, Fernando Parra, Michael W. Ordoñez, Carlos A. Colomb Med (Cali) Review 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. Universidad del Valle 2021-05-30 /pmc/articles/PMC8216048/ /pubmed/34188318 http://dx.doi.org/10.25100/cm.v52i2.4801 Text en Copyright © 2021 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
Quintero, Laureano
Meléndez-Lugo, Juan José
Palacios-Rodríguez, Helmer Emilio
Padilla, Natalia
Gallego, Linda M.
Pino, Luis Fernando
García, Alberto
González-Hadad, Adolfo
Herrera, Mario Alain
Salcedo, Alexander
Serna, José Julián
Rodríguez-Holguín, Fernando
Parra, Michael W.
Ordoñez, Carlos A.
Damage control in the emergency department, a bridge to life
title Damage control in the emergency department, a bridge to life
title_full Damage control in the emergency department, a bridge to life
title_fullStr Damage control in the emergency department, a bridge to life
title_full_unstemmed Damage control in the emergency department, a bridge to life
title_short Damage control in the emergency department, a bridge to life
title_sort damage control in the emergency department, a bridge to life
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8216048/
https://www.ncbi.nlm.nih.gov/pubmed/34188318
http://dx.doi.org/10.25100/cm.v52i2.4801
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