Other goals can be established after vascular control is achieved and a more aggressive resuscitation should be instituted in order to control and prevent the other two factors of the death triad, namely, acidosis and hypothermia table 2. As confirmed by the review of the pathophysiology of hemostasis and its various components, inadequate resuscitation, poor control of bleeding, persistent hypoperfusion and inadequate protection against hypothermia during early management open the door to the deadly triad as trigger of a fatal outcome in these patients.
Como ha sido sustentado a lo largo de toda la revisión que se ha hecho del evento fisiopatológico de la hemostasia y sus diferentes componentes, una inadecuada reanimación, pobre control del sangrado, persistencia de la hipoperfusión e inadecuada protección de la hipotermia en el manejo temprano nos deja a las puertas de la tríada mortal como disparador del desenlace fatal de estos pacientes.