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Damage control resuscitation should be initiated as soon as possible after a traumatic event to avoid metabolic decompensation and high mortality rates. This article aims 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 has a better perception of hemostatic techniques such as tourniquet use than hospital providers. The use of tourniquets is recommended as a measure to control bleeding. Fluid management should be initiated using low volume crystalloids, ideally, 250cc boluses, maintaining the principle of permissive hypotension with a systolic blood pressure range between 80- and 90-mm Hg.  Hypothermia must be managed using warmed blankets or the administration of intravenous fluids warmed before 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 the survival rate of severe trauma patients.

Juan Jose Melendez, Department of Surgery, Caja Costarricense del Seguro Social – San José, Costa Rica.

orcid_id14.png https://orcid.org/0000-0002-3351-9971

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

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

Monica Guzman, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile.

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

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.

orcid_id14.png https://orcid.org/0000-0001-9829-8930

Juliana Ordoñez, Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia

orcid_id14.png https://orcid.org/0000-0001-9208-1239

Edison Angamarca, Department of Surgery. Hospital UTPL, Loja, Ecuador.

orcid_id14.png https://orcid.org/0000-0002-7904-2646

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.

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

Luis Fernando Pino, • Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia. • Division of Trauma and Acute Care Surgery, Department of Surgery. Hospital Universitario del Valle, Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-1179-2854

Michael Parra, 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

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.

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

Melendez, J. J., Caicedo, Y., Guzman, M., Serna, J. J., Ordoñez, J., Angamarca, E., Garcia, A., Pino, L. F., Quintero, L., Parra, M., & Ordoñez, C. A. (2020). Prehospital Damage Control: The Management of Volume, Temperature…and Bleeding!. Colombia Medica, 51(4), e4024486. https://doi.org/10.25100/cm.v51i4.4486

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Received 2020-07-31
Accepted 2021-02-11
Published 2020-12-30