Abordaje integral en trauma multisistémico: reanimación hemostática, protección espinal y extricación técnica en un atrapamiento vehicular complejo.: Comprehensive approach to multisystem trauma: hemostatic resuscitation, spinal motion restriction, and technical extrication in complex vehicle entrapment.

Dani José Ochoa Garcia

doi:10.59722/rmcu.v3i2.1248

Authors

Dani José Ochoa Garcia SUME Operaciones|Panamá https://orcid.org/0009-0005-4739-6676

DOI:

https://doi.org/10.59722/rmcu.v3i2.1248

Keywords:

trauma multisistémico , atrapamiento vehicular, extricación técnica, reanimación hemostática, ácido tranexámico, torniquete táctico, inmovilización espinal, SUME prehospitalaria, medicina prehospitalaria

Abstract

The case documents the prehospital care of a 49-year-old male with Grade III vehicular entrapment and decompensated hypovolemic shock in Chiriquí, Panama. Coordinated intervention among SUME 9-1-1, SAMER, and the Fire Department integrated cervical immobilization, hemostatic resuscitation with tranexamic acid, thermal control, and a 45-minute technical extrication, delivering the patient in stable condition for successful surgery.

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