TY - JOUR AU - Quintero, Laureano AU - Melendez-Lugo, Juan Jose AU - Palacios-Rodríguez, Helmer Emilio AU - Padilla, Natalia AU - Pino, Luis Fernando AU - García, Alberto AU - Gonzalez-Hadad, Adolfo AU - Herrera, Mario Alaín AU - Salcedo, Alexander AU - Serna, Jose Julián AU - Rodriguez-Holguín, Fernando AU - Parra, Michael AU - Ordoñez, Carlos Alberto PY - 2021/06/05 Y2 - 2024/03/28 TI - Damage control in the emergency department, a bridge to life JF - Colombia Medica JA - Colomb Med VL - 52 IS - 2 SE - Reviews DO - 10.25100/cm.v52i2.4801 UR - https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4801 SP - e4004801 AB - <p>Patients with hemodynamic instability have a sustained systolic blood pressure less or equal to 90 mmHg, a heart rate greater or equal to 120 beats per minute and an acute compromise of the ventilation/oxygenation ratio and/or an altered state of consciousness upon admission. These patients have higher mortality rates due to massive hemorrhage, airway injury and/or impaired ventilation. Damage control resuscitation is a systematic approach that aims to limit physiologic deterioration through a group of strategies that address the physiologic debt of trauma. This article aims to describe the experience earned by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia in the management of the severely injured trauma patient in the emergency department following the basic principles of damage control surgery. Since bleeding is the main cause of death, the management of the severely injured trauma patient in the emergency department requires a multidisciplinary team, which should perform damage control maneuvers aimed at rapidly control bleeding, hemostatic resuscitation and/or prompt transfer to the operating room, if required.</p> ER -