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Trauma treatment starts where the injury happens, not when the individual rolls under the OR lights. What paramedics and initial -responders perform in the very first 10 to half an hour shapes operative strategy, difficulty danger, and mortality curves. Ask any kind of surgeon traumatólogo who has stood at the head of a surprised client throughout a rushed laparotomy: upstream decisions either get time for hemostasis and conclusive repair service, or they consume it. Thi