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Cuando los segundos cuentan: manejo de la hemorragia en el servicio de urgencias

Matthew Osborne¹

¹School of Health and Social Care, University of Essex, Southend-on-Sea, England.

Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association

|January 27, 2026

Resumen

Las enfermeras de urgencias son cruciales para reconocer y manejar la hemorragia, una habilidad vital para la supervivencia del paciente. Este artículo detalla los roles de enfermería en la identificación del sangrado, la implementación de protocolos y la provisión de atención basada en evidencia.

Área de la Ciencia:

Medicina de Urgencias
Atención de Enfermería

Sus antecedentes:

El manejo de la hemorragia es una responsabilidad central de enfermería en entornos de emergencia.
Las enfermeras desempeñan un papel clave en la detección temprana y la intervención de pacientes con sangrado.

Objetivo del estudio:

Explorar la fisiopatología de la hemorragia.
Detallar los métodos de evaluación y las estrategias de manejo basadas en evidencia para las enfermeras.
Analizar el papel multifacético de las enfermeras en el control de la hemorragia.

Principales métodos:

Revisión de la fisiopatología de la hemorragia.
Examen de las técnicas de evaluación clínica.
Análisis de las estrategias de manejo basadas en evidencia.

Principales resultados:

Las enfermeras son fundamentales para identificar indicadores sutiles de sangrado.
El control eficaz de la hemorragia depende de la activación y la intervención rápidas del protocolo.
La comunicación multidisciplinaria es esencial para obtener resultados óptimos en el paciente.

Conclusiones:

Las enfermeras requieren un conocimiento integral de la fisiopatología y el manejo de la hemorragia.
El papel de la enfermera se extiende más allá de la intervención clínica a la defensa y la comunicación.
Los factores éticos y humanos influyen significativamente en la práctica de enfermería en situaciones de sangrado crítico.

Palabras clave:

sangre pérdida de sangre productos sanguíneos clínico hemorragia atención de enfermería profesional signos y síntomas manejo de síntomas transfusión

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