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  1. Home /
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  3. Vol 51 No 4 (2020): Damage Control Surgery (I) /
  4. Número Especial

Whole-Body CT is Safe, Effective and Efficient in the Severely Injured Hemodynamically Unstable Trauma Patient

  • Abstract
  • Keywords
  • Author Biographies

Abstract

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.

Authors

  • Carlos Alberto Ordoñez Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia. https://orcid.org/0000-0003-4495-7405
  • Michael Parra Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA https://orcid.org/0000-0001-6496-6275
  • Alfonso Holguín Department of Radiology. Fundación Valle del Lili, Colombia.
  • Carlos Garcia Department of Radiology. Fundación Valle del Lili, Colombia.
  • Monica Guzmán-Rodríguez Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile https://orcid.org/0000-0002-5515-263X
  • Natalia Padilla Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0003-3292-6919
  • Yaset Caicedo Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0002-6128-0128
  • Claudia Patricia Orlas Center for Surgery and Public Health, Department of Surgery, Brigham & Women’s Hospital, Harvard Medical School & Harvard T.H. Chan School of Public Health, Boston, USA https://orcid.org/0000-0002-2249-9960
  • Alberto Garcia Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia https://orcid.org/0000-0002-4096-1434
  • Fernando Rodríguez-Holguín Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Universidad Icesi, Cali, Colombia https://orcid.org/0000-0002-5326-2317
  • Jose Julian Serna Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia

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Keywords

  • Whole-Body CT
  • organ-selective CT
  • Damage Control Trauma Care
  • Hemodynamic instability
  • Trauma Centers
  • Advanced Trauma Life Support Care
  • X-Rays
  • Focused Assessment with Sonography for Trauma
  • Vascular System Injuries
  • Operating Rooms
  • Consensus

Author Biographies


, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0003-4495-7405


, Department of Trauma Critical Care, Broward General Level I Trauma Center, Fort Lauderdale, FL – USA

 orcid_id14.png https://orcid.org/0000-0001-6496-6275


, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile

orcid_id14.png https://orcid.org/0000-0002-5515-263X


, Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0003-3292-6919


, Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-6128-0128


, Center for Surgery and Public Health, Department of Surgery, Brigham & Women’s Hospital, Harvard Medical School & Harvard T.H. Chan School of Public Health, Boston, USA

orcid_id14.png https://orcid.org/0000-0002-2249-9960


, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. Universidad Icesi, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-4096-1434


, Division of Trauma and Acute Care Surgery, Department of Surgery. Fundación Valle del Lili. Cali, Colombia. Universidad Icesi, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0002-5326-2317

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Published
2020-11-29
Submitted
2020-06-01
| 75 |
How to Cite
Ordoñez, C. A., Parra, M., Holguín, A., Garcia, C., Guzmán-Rodríguez, M., Padilla, N., Caicedo, Y., Orlas, C., Garcia, A., Rodríguez-Holguín, F., & Serna, J. (2020). Whole-Body CT is Safe, Effective and Efficient in the Severely Injured Hemodynamically Unstable Trauma Patient. Colombia Médica, 51(4), e-4054362. https://doi.org/10.25100/cm.v51i4.4362
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Vol 51 No 4 (2020): Damage Control Surgery (I)
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Número Especial

Copyright (c) 2020 Universidad del Valle

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The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use

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