[Polyspecialistic treatment of a polytrauma. Case report].
The Authors report the clinical course of M.L., a 22 years old man. He came to our observation after a road accident, in third care. In the former hospital admissions hemodynamic stabilization, surgical haemostasis of multiple hepatic lacerations with hemoperitoneum and right leg amputation were performed. He arrived to our department in a critical condition owing to mild respiratory insufficiency due to many rib fractures with sero-haematic spillage into the pleural cavity, in dialytic treatment for acute renal insufficiency consequent to right renal artery damage, soft tissues necrosis of the amputation stump with sepsis and persistent fever until 40 degrees C. The treatment and care of this patient required a team-work with the collaboration of many specialists, namely surgeons, nephrologists, anaesthetists, interventionist radiologists and hyperbaric oxygen therapy experts. Thanks to such collaboration we achieved an excellent quoad vitam result. The aim of this paper is to confirm and emphasize the central role of a Trauma Team, fed in a Trauma Center and in a Trauma System, in the management of complex traumas.
Martino
Antonio
A
UOSC Centro Traumi e Chirurgia d'Urgenza, Ospedale Pineta Grande, Castel Volturno (Caserta).
Rampone
Bernardino
B
Maharajan
Gautam
G
Sacco
Maria Lucia
ML
Martino
Giovanni
G
La Rocca
Francesco
F
Sansone
Pasquale
P
D000063:Accidents, Traffic; D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy*; D000328:Adult; D000671:Amputation, Surgical; D000672:Amputation Stumps / Q000601:surgery*; D005264:Femoral Fractures / Q000150:complications / Q000209:etiology; D005500:Follow-Up Studies; D006801:Humans; D006931:Hyperbaric Oxygenation; D015601:Injury Severity Score; D007813:Laparotomy; D007866:Leg / Q000601:surgery; D008099:Liver / Q000293:injuries; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000628:therapy*; D012077:Renal Artery / Q000293:injuries*; D006435:Renal Dialysis; D012253:Rib Fractures / Q000209:etiology; D012771:Shock, Hemorrhagic / Q000209:etiology*; D014057:Tomography, X-Ray Computed; D014193:Trauma Centers; D016896:Treatment Outcome