<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272023000200286</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Guía de prácticas clínicas para la atención médica de pacientes con trauma complejo hemorrágico]]></article-title>
<article-title xml:lang="en"><![CDATA[Clinical Practice Guideline for the medical care of patients with complex hemorrhagic trauma]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Rodríguez]]></surname>
<given-names><![CDATA[Manuel Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Condes Fernández]]></surname>
<given-names><![CDATA[Berto Delis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Orellana Meneses]]></surname>
<given-names><![CDATA[Geovanis Alcides]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez Concepción]]></surname>
<given-names><![CDATA[Juana del Pilar]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Valdés Rodríguez]]></surname>
<given-names><![CDATA[Aramís Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Provincial General &#8220;Camilo Cienfuegos&#8221;  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus Sancti Spíritus]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Ciencias Médicas de Sancti Spíritus  ]]></institution>
<addr-line><![CDATA[Sancti Spíritus Sancti Spíritus]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2023</year>
</pub-date>
<volume>17</volume>
<numero>2</numero>
<fpage>286</fpage>
<lpage>300</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272023000200286&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272023000200286&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272023000200286&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  el proceso de atención médica de pacientes con trauma complejo hemorrágico en la Provincia de Sancti Spíritus muestra insuficiencias en la uniformidad de la utilización del método clínico de forma estructurada en función del diagnóstico y el tratamiento de estos pacientes.  Objetivo:  diseñar una Guía de prácticas clínicas para la atención médica de urgencia intrahospitalaria a pacientes con trauma complejo hemorrágico.  Métodos:  se realizó una investigación que se corresponde con la tipología de investigación-desarrollo, multietápica, con enfoque mixto, en la Provincia de Sancti Spíritus desde 2012 a 2019.  Resultados:  se detectaron insuficiencias metodológicas en el proceso de atención médica de pacientes con trauma complejo hemorrágico. Se elaboró y se ejecutó una Guía de prácticas clínicas que permitió la estructuración de elementos teóricos, clínicos e investigativos para evaluar a este tipo de pacientes.  Conclusiones:  la Guía de prácticas clínicas demostró tener pertinencia, factibilidad y efectividad, posibilitó una primera aproximación a los pacientes cubanos con trauma complejo hemorrágico y permitió elevar el nivel de conocimientos de los médicos sobre esa afección.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the process of medical care for patients with complex haemorrhagic trauma in the province of Sancti Spíritus shows insufficiencies in the uniformity of the use of the clinical method in a structured way based on the diagnosis and treatment of these patients.  Objective:  to design a Clinical Practice Guide for in-hospital emergency medical care for patients with complex haemorrhagic trauma.  Methods:  an investigation was carried out that corresponds to the type of research-development, multistage, with a mixed approach, in the province of Sancti Spíritus from 2012 to 2019.  Results:  methodological insufficiencies were detected in the medical care process of patients with haemorrhagic complex trauma. A clinical practice guide was prepared and executed that allowed the structuring of theoretical, clinical and investigative elements to evaluate this type of patients.  Conclusions:  the clinical practice guideline proved to be relevant, feasible and effective; it made possible a first approach to Cuban patients with complex haemorrhagic trauma and allowed raising the level of knowledge of doctors about this condition.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[trauma complejo hemorrágico]]></kwd>
<kwd lng="es"><![CDATA[guía de práctica clínica]]></kwd>
<kwd lng="es"><![CDATA[urgencias médicas]]></kwd>
<kwd lng="es"><![CDATA[atención médica]]></kwd>
<kwd lng="en"><![CDATA[hemorrhagic complex trauma]]></kwd>
<kwd lng="en"><![CDATA[practice guideline]]></kwd>
<kwd lng="en"><![CDATA[emergencies]]></kwd>
<kwd lng="en"><![CDATA[medical care]]></kwd>
</kwd-group>
</article-meta>
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