1) Why was this study conducted?

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 describe the pre-hospital attention principles and our experience regarding Stop the Bleed initiative within Latin America.

2) What were the most relevant results of the study?

The use of tourniquets is recommended as a measure to control bleeding. Fluid management should be initiated using low volume crystalloids keeping the permissive hypotension principle. 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.

3) What do these results contribute?

Prehospital damage control measures are the first steps in the control of bleeding and the initiation of hemostatic resuscitation in the traumatically injured patient.