Saved in:
| Main Author: | |
|---|---|
| Format: | Artículo científico |
| Language: | en |
| Published: |
Universidad del Valle
2020
|
| Subjects: | |
| Online Access: | https://www.redalyc.org/articulo.oa?id=28366176004 https://www.redalyc.org/journal/283/28366176004/ https://www.redalyc.org/journal/283/28366176004/html/ https://www.redalyc.org/journal/283/28366176004/28366176004.epub https://www.redalyc.org/journal/283/28366176004/movil |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
Table of Contents:
- Prehospital Damage Control: The Management of Volume, Temperature… and Bleeding! Juan José Meléndez-Lugo Yaset Caicedo Mónica Guzmán-Rodríguez José Julián Serna Juliana Ordoñez Edison Angamarca Alberto García Luis Fernando Pino Laureano Quintero Michael W. Parra Carlos A. Ordoñez Medicina Shock Trauma hemorrhage Tourniquets Hemorrhagic Damage control resuscitation should be initiated as soon as possible after a trauma event to avoid metabolic decompensation and high mortality rates. The aim of this article is to assess the position of the Trauma and Emergency Surgery Group (CTE) from Cali, Colombia regarding prehospital care, and to present our experience in the implementation of the “Stop the Bleed” initiative within Latin America. Prehospital care is phase 0 of damage control resuscitation. Prehospital damage control must follow the guidelines proposed by the “Stop the Bleed” initiative. We identified that prehospital personnel have a better perception of hemostatic techniques such as tourniquet use than the hospital providers. The use of tourniquets is recommended as a measure to control bleeding. Fluid management should be initiated using low volume crystalloids, ideally 250 cc boluses, maintaining the principle of permissive hypotension with a systolic blood pressure range between 80- and 90-mm Hg. Hypothermia must be management using warmed blankets or the administration of intravenous fluids warmed prior to infusion. However, these prehospital measures should not delay the transfer time of a patient from the scene to the hospital. To conclude, prehospital damage control measures are the first steps in the control of bleeding and the initiation of hemostatic resuscitation in the traumatically injured patient. Early interventions without increasing the transfer time to a hospital are the keys to increase survival rate of severe trauma patients. 2020 artículo científico 0120-8322 https://www.redalyc.org/articulo.oa?id=28366176004 https://www.redalyc.org/journal/283/28366176004/ https://www.redalyc.org/journal/283/28366176004/html/ https://www.redalyc.org/journal/283/28366176004/28366176004.epub https://www.redalyc.org/journal/283/28366176004/movil 10.25100/cm.v51i4.4486 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.4 Vol.51