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  1. Home /
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  3. Vol 52 No 2 (2021): Damage Control Surgery (II) /
  4. Reviews

Hybrid trauma service: on the leading edge of damage control

  • Abstract
  • Keywords
  • Author Biographies
  • References

Abstract

Trauma damage control seeks to limit life-threatening bleeding. Sequential diagnostic and therapeutic approaches are the current standard. Hybrid Room have reduced hemostasis time by integrating different specialties and technologies. Hybrid Rooms seek to control bleeding in an operating room equipped with specialized personnel and advanced technology including angiography, tomography, eFAST, radiography, endoscopy, infusers, cell retrievers, REBOA, etc. Trauma Hybrid Service is a concept that describes a vertical work scheme that begins with the activation of Trauma Code when admitting a severely injured patient, initiating a continuous resuscitation process led by the trauma surgeon who guides transfer to imaging, angiography and surgery rooms according to the patient's condition and the need for specific interventions. Hybrid rooms integrate different diagnostic and therapeutic tools in one same room, reducing the attention time and increasing all interventions effectiveness.

Authors

  • Helmer Emilio Palacios-Rodríguez Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia. https://orcid.org/0000-0002-6684-982X
  • Nao Hiroe Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan. https://orcid.org/0000-0001-5804-4223
  • Mónica Guzmán-Rodríguez Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile. https://orcid.org/0000-0002-5515-263X
  • Yaset Caicedo Centro de Investigaciones Clínicas (CIC), Fundación Valle del Lili, Cali, Colombia https://orcid.org/0000-0002-6128-0128
  • Luis Saldarriaga Division of Trauma and Acute Care Surgery, Department of Surgery. Universidad del Valle, Cali, Colombia https://orcid.org/0000-0002-7955-8466
  • 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. 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
  • Tomohiro Funabiki Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan. https://orcid.org/0000-0003-4289-0702

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Keywords

  • Hybrid Operating Rooms
  • Damage Control, Surgery
  • Angiography
  • Tomography
  • Trauma Centers
  • Balloon Occlusion
  • Delivery of Health Care
  • Endovascular Procedures

Author Biographies


, Universidad del Valle, Facultad de Salud, Escuela de Medicina, Division of Trauma and Acute Care Surgery, Department of Surgery. Cali, Colombia.

orcid_id14.png https://orcid.org/0000-0002-6684-982X


, Department of Trauma and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.

orcid_id14.png https://orcid.org/0000-0001-5804-4223


, 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/0000-0002-6128-0128


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

orcid_id14.png https://orcid.org/0000-0002-7955-8466


, 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. 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 and Emergency Surgery, Saiseikai Yokohamashi Tobu Hospital, Yokohama, Japan.

orcid_id14.png https://orcid.org/0000-0003-4289-0702

References

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Kirkpatrick AW, Vis C, Dubé M, Biesbroek S, Ball CG, Laberge J, et al. The evolution of a purpose designed hybrid trauma operating room from the trauma service perspective: The RAPTOR (resuscitation with angiography percutaneous treatments and operative resuscitations). Injury. 2014;45(9):1413-21. https://doi.org/10.1016/j.injury.2014.01.021

Fang JF, Shih LY, Wong YC, Lin BC, Hsu YP. Angioembolization and laparotomy for patients with concomitant pelvic arterial hemorrhage and blunt abdominal trauma. Langenbeck's Arch Surg. 2011;396(2):243-50. https://doi.org/10.1007/s00423-010-0728-9

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Published
2021-05-06
Submitted
2021-01-05
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How to Cite
Palacios-Rodríguez, H., Hiroe, N., Guzmán-Rodríguez, M., Caicedo, Y., Saldarriaga, L., Ordoñez, C. A., & Funabiki, T. (2021). Hybrid trauma service: on the leading edge of damage control. Colombia Médica, 52(2), e4014686. https://doi.org/10.25100/cm.v52i2.4686
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Vol 52 No 2 (2021): Damage Control Surgery (II)
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