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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.

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.

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

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

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

Mónica Guzmán-Rodríguez, Instituto de Ciencias Biomédicas, Facultad de Medicina, Universidad de Chile, Santiago de Chile, Chile.

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

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

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Luis Saldarriaga, 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

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.

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

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

Palacios-Rodríguez, H. E., 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 Medica, 52(2), e4014686. https://doi.org/10.25100/cm.v52i2.4686 (Original work published May 6, 2021)

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Received 2021-01-05
Accepted 2021-05-04
Published 2021-06-30