Last Friday, data from the what would be the necropsy performed on Javier Ordóñez, the man who died on Wednesday, September 9 in Bogotá in a police abuse case under investigation. The EL TIEMPO Health Unit makes a clinical analysis of what can happen to a body with the type of injuries described.
(In context: Necropsy reveals the wounds suffered by Javier Ordóñez)
The outbreak of a solid viscus such as the kidney, with separation of the blood vessels (artery and vein) that supply it, it can be the result of very strong blows that displace the organ with such force that they tear the structures of the arteries and veins, causing hemorrhages that can hardly be contained.
It is a very serious situation because severely compromises the body’s hemodynamic balance due to blood loss, but if the complete rupture of the main artery and vein of the other kidney is added, the risk is multiplied throughout the body, unless the injuries are corrected immediately.
Two liters of blood are lost due to these damages, They accumulate in the form of a hematoma in the back of the abdomen (retroperitoneum), and the general functioning of the body begins to be compromised by a dangerous lack of fluids within the blood vessels and of red blood cells to oxygenate the tissues.
So far the imminence of death is high. Now, if to these damages are added injuries in other viscera with tears in the membranes that fix them to the abdomen (mesentery), which produce bleeding of another 1,500 cubic centimeters, which are concentrated in the abdomen, the possibility of a shock hypovolemic (massive blood loss) is very high, given that by a single trauma, 3.5 liters of blood have already been lost out of the 5 that the body handles, that is, about 60 percent.
Here you have to know that Acute (sudden) blood losses greater than 20 percent are considered extremely serious, to the point that they fall into the range of so-called vital emergencies.
And if the situation is already extreme, we must add simultaneous injury to organs such as the liver and spleen, that due to their high irrigation also contribute their share of bleeding in this catastrophe.
In this context, the affected person’s blood pressure drops dramatically, the heart rate increases in an exaggerated way and the pulse is too weak, the person becomes extremely pale and as there is no blood to irrigate the neurons, consciousness is lost. which means that the body is not getting the blood it needs and literally the risk of dying is imminent.
On the other hand, if the affected person presents other types of external injuries, electrical burns, trauma and gunshot wounds, A true polytrauma is consolidated that increases the stress of the organism with greater demands on blood supply to try to compensate for the damage. Given this, alarm systems are literally no longer able to compensate.
In this sense, all the functions of the body begin to fail until reaching a general collapse, starting with the death of cells that are very sensitive to oxygen deprivation, such as brain cells, heart cells and, progressively, those of vital structures.
In functional terms, without oxygen, the body enters a deadly triad: acidosis (excessive acid production due to the activation of compensatory anaerobic processes); hypothermia, due to the inability to produce heat, and serious failures in the coagulation mechanisms.
Without oxygen, the organs resist variable times, for example, brain, lung and heart do not tolerate this condition for more than 7 minutes, while the abdominal organs can be up to 45 minutes and the muscle and skin, up to 6 hours.
In this state, If the person has not received immediate attention, the situation is irreversible and the patient dies quickly.
The serious thing is that since in closed traumas there are no signs of bleeding, it may be thought that the affected person is not so bad.
This can be the outcome of closed traumas produced by strong blows with forceful elements on the back and abdomen.