Evidence map›Paper›PMID 33795898›Full record

ReviewColombia medica (Cali, Colombia)2020

Prehospital Damage Control: The Management of Volume, Temperature… and Bleeding!

Juan José Meléndez-Lugo, Yaset Caicedo, Mónica Guzmán-Rodríguez, José Julián Serna, Juliana Ordoñez, Edison Angamarca, Alberto García, Luis Fernando Pino, Laureano Quintero, Michael W Parra and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Colombia medica (Cali, Colombia), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.3field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 36 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Hemorrhage Control in a Facial Gunshot Wound: A Case Report.Open access emergency medicine : OAEM · 2026
    Article
  6. Unstable pelvic fractures in patients with hemodynamic instability: global treatment controversies.OTA international : the open access journal of orthopaedic trauma · 2025
    Article
  7. Article
  8. The Use of TRAUMAGELOpen access emergency medicine : OAEM · 2025
    Article
  9. Review
  10. Torso hemorrhage: noncompressible? never say never.European journal of medical research · 2024
    Review
  11. Article
  12. Article
  13. Review
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 5 countries.

Juan José Meléndez-LugoHospital Rafael Angel Calderon Guardia, Department of Surgery, San José, Costa Rica.ORCID 0000-0002-3351-9971
Yaset CaicedoFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0002-6128-0128
Mónica Guzmán-RodríguezUniversidad de Chile, Instituto de Ciencias Biomédicas, Facultad de Medicina, Santiago de Chile, Chile.ORCID 0000-0002-5515-263X
José Julián SernaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-9829-8930
Juliana OrdoñezUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y Emergencias, Cali Colombia.ORCID 0000-0001-9208-1239
Edison AngamarcaHospital UTPL, Department of Surgery, Loja, Ecuador.ORCID 0000-0002-7904-2646
Alberto GarcíaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-4096-1434
Luis Fernando PinoUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y Emergencias, Cali Colombia.ORCID 0000-0002-1179-2854
Laureano QuinteroUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Sección de Cirugía de Trauma y Emergencias, Cali Colombia.
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL, USA.ORCID 0000-0001-6496-6275
Carlos A OrdoñezFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0003-4495-7405
Fundación Valle del Lili · COHospital Universitario del Valle ESE · COBroward Health · USCaucaseco Scientific Research Center · COCosta Rican Department of Social Security · CRUniversidad del Valle · COUniversidad Técnica Particular de Loja · ECUniversity of Chile · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

Indexed as

AlgorithmsBlood VolumeBody TemperatureEmergency Medical ServicesHemorrhageHumansInjury Severity ScoreResuscitationWounds and InjuriesBlood VolumeCompartment SyndromesCrystalloid SolutionsDamage ControlEmergency Medical ServiceshemorrhageHemorrhagicHemostatic TechniquesHypothermiaPrehospital careReperfusionShockTourniquetsTrauma

Identifiers

PMID33795898
PMCPMC7968431
OpenAlexW3130619328

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.