“The Death Triad”. Acidosis, hypothermia and coagulopathies in traumatized patients.

Authors

  • Mario Miguel Morales Wong HOSPITAL TERRITORIAL DOCENTE “DR. MARIO MUÑOZ MONROY” COLÓN.PROVINCIA DE MATANZAS”
  • Mario Michel Gómez Hernández HOSPITAL TERRITORIAL DOCENTE “DR. MARIO MUÑOZ MONROY” COLÓN.PROVINCIA DE MATANZAS”
  • Alexander Ramos Godines HOSPITAL TERRITORIAL DOCENTE “DR. MARIO MUÑOZ MONROY” COLÓN.PROVINCIA DE MATANZAS”
  • Olga Lidia Llanes Mendoza HOSPITAL TERRITORIAL DOCENTE “DR. MARIO MUÑOZ MONROY” COLÓN.PROVINCIA DE MATANZAS”
  • José M González Ortega HOSPITAL TERRITORIAL DOCENTE “DR. MARIO MUÑOZ MONROY” COLÓN.PROVINCIA DE MATANZAS”

Keywords:

TRAUMATISMO MÚLTIPLE, ACIDOSIS, HYPOTHERMIA, BLOOD COAGULATION DISORDERS, REOPERATION RESUSCITATION, SURVIVAL RATE, HUMAN, ADULT

Abstract

The phisiopathological and therapeutic consequences of trauma and serious hemorrhagic shock in the patients suffering them are the causes of the high mortality, and many times they run away from our control. The acidosis, the hypothermia and the coagulopathies are the complications that hopelessly lead to the patients´ death, when they are not appropriately foreseen or prevented, and they force us to defer the definitive surgical treatment with the objective of achieving a higher survival, by following consecutive and planned steps on the basis of the patients´ physiologic tolerance. This element was not taken into account in the reanimation of patients with serious trauma. These strategies have been denominated “damage control surgery”. In this work we intended to carry out a revision of the causes, consequences and treatment of the mortal triad components for a better management of the seriously traumatized patients.

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Published

2007-01-15

How to Cite

1.
Morales Wong MM, Gómez Hernández MM, Ramos Godines A, Llanes Mendoza OL, González Ortega JM. “The Death Triad”. Acidosis, hypothermia and coagulopathies in traumatized patients. Rev Méd Electrón [Internet]. 2007 Jan. 15 [cited 2025 Mar. 9];29(1):56-64. Available from: https://revmedicaelectronica.sld.cu/index.php/rme/article/view/361

Issue

Vol. 29 No. 1 (2007)

Section

Review article

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