[Multidisciplinary approach to the patient with multiple trauma: a case report].
A multidisciplinary approach to severe polytraumatized patient is very important for a rapid, uncomplicated recovery. Specialized centres with special beds, monitoring equipment, and a multidisciplinary team are required. The authors report a case of a 26-year-old man admitted to their department in an emergency setting for a crush injury (occupational trauma) of the lumbar, gluteal and perineal areas, complicated with septic shock and gas gangrene of the injured areas. A multidisciplinary approach to the patient, consisting in surgical and plastic surgical therapy, hyperbaric oxygen therapy and the use of a special antidecubitus fluidized bed allowed complete recovery within 7 months without any motor or sphincter disorders.
Assenza
Marco
M
Dipartimento di Chirurgia Pietro Valdoni, S.S. Chirurgia d'Urgenza 1, Università degli Studi di Roma La Sapienza.
De Angelis
Gilberto
G
Romagnoli
Francesco
F
Portieri
Monica
M
Pascazio
Carola
C
Tomei
Barbara
B
Ruggiero
Maria Isabel
MI
Rengo
Mario
M
Modini
Claudio
C
D000062:Accidents, Occupational; D000328:Adult; D005738:Gas Gangrene / Q000628:therapy; D006801:Humans; D006931:Hyperbaric Oxygenation; D008297:Male; D009104:Multiple Trauma / Q000523:psychology / Q000628:therapy*; D003668:Pressure Ulcer / Q000517:prevention & control; D013997:Time Factors; D014193:Trauma Centers