Trauma vascular en extremidades: enfoque diagnóstico y terapéutico en urgencias

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Johanna Caicedo Valle
Andrés Felipe Estrada Atehortúa
Mateo Zuluaga Gómez

Resumen

El trauma vascular en las extremidades es una causa importante de mortalidad y morbilidad. Por su fisiopatología se conoce que esta lesión puede tener efectos sistémicos ocasionados por el choque hemorrágico, y efectos locales debido a la isquemia tisular. El manejo se inicia desde el primer contacto con el paciente, bien sea por personal médico o de atención prehospitalaria. El escenario puede variar desde un área de conflicto armado, la vía pública hasta un hospital y la prioridad inicial será el control del sangrado. En este artículo se exponen elementos para el diagnóstico y el manejo no quirúrgico del trauma vascular incluyendo el uso temprano de torniquete, el diagnóstico clínico, la identificación y el tratamiento de pacientes con trauma vascular, lo que permitirá salvar vidas y extremidades.

Palabras clave:
wounds and injuries, hemorrhage, diagnosis heridas y lesiones, hemorragia, diagnóstico feridas e lesões, hemorragia, diagnóstico

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Referencias

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