Mauricio Millán, Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Fernando Rodríguez-Holguín, Alexander Salcedo, Alberto García, José Julián Serna, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, Carlos Serna, Adolfo González Hadad
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Current controversies surround the optimal surgical approach of these cases including the use of an endovascular device such as the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the timing of additional imaging aids. This article aims to shed light on this subject based on the experience earned during the past 30 years in trauma critical care management of the severely injured patient. We have found that prioritizing the fact that the patient is hemodynamically unstable and obtaining early open or endovascular occlusion of the aorta to gain ground on avoiding the development of the lethal diamond is of utmost importance. Damage control surgery starts with choosing the right surgery of the right cavity in the right patient. For this purpose, we present a practical and simple guide on how to perform the surgical approach to penetrating torso trauma in a hemodynamically unstable patient.</p>","PeriodicalId":50667,"journal":{"name":"Colombia Medica","volume":null,"pages":null},"PeriodicalIF":0.7000,"publicationDate":"2021-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f0/e8/1657-9534-cm-52-02-e4024592.PMC8216055.pdf","citationCount":"0","resultStr":"{\"title\":\"Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach.\",\"authors\":\"Mauricio Millán, Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Fernando Rodríguez-Holguín, Alexander Salcedo, Alberto García, José Julián Serna, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, Carlos Serna, Adolfo González Hadad\",\"doi\":\"10.25100/cm.v52i2.4592\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Penetrating torso trauma is the second leading cause of death following head injury. 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Hemodynamically unstable non-compressible penetrating torso trauma: a practical surgical approach.
Penetrating torso trauma is the second leading cause of death following head injury. Traffic accidents, falls and overall blunt trauma are the most common mechanism of injuries in developed countries; whereas, penetrating trauma which includes gunshot and stabs wounds is more prevalent in developing countries due to ongoing violence and social unrest. Penetrating chest and abdominal trauma have high mortality rates at the scene of the incident when important structures such as the heart, great vessels, or liver are involved. Current controversies surround the optimal surgical approach of these cases including the use of an endovascular device such as the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the timing of additional imaging aids. This article aims to shed light on this subject based on the experience earned during the past 30 years in trauma critical care management of the severely injured patient. We have found that prioritizing the fact that the patient is hemodynamically unstable and obtaining early open or endovascular occlusion of the aorta to gain ground on avoiding the development of the lethal diamond is of utmost importance. Damage control surgery starts with choosing the right surgery of the right cavity in the right patient. For this purpose, we present a practical and simple guide on how to perform the surgical approach to penetrating torso trauma in a hemodynamically unstable patient.
期刊介绍:
Colombia Médica is an international peer-reviewed medical journal that will consider any original contribution that advances or illuminates medical science or practice, or that educates to the journal''s’ readers.The journal is owned by a non-profit organization, Universidad del Valle, and serves the scientific community strictly following the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME) recommendations of policies on publication ethics policies for medical journals.
Colombia Médica publishes original research articles, viewpoints and reviews in all areas of medical science and clinical practice. However, Colombia Médica gives the highest priority to papers on general and internal medicine, public health and primary health care.