Kuhr, Lars-Peter and Bein, T. and Schaechinger, U. and Stumpf, M. and Bele, S. and Taeger, K. and Nerlich, M. (2003) Hb 1.1 g/dl: successful treatment of a polytraumatized patient in hemorrhagic shock. UNFALLCHIRURG, 106 (7). pp. 586-591. ISSN 0177-5537
Full text not available from this repository. (Request a copy)Abstract
We report on the successful treatment of a seriously traumatized patient (injury severity score=59) who presented with exsanguinating hemorrhage in the emergency room. Preclinical and emergency room management included "small volume" hypertonic resuscitation as well as massive transfusion, C-clamp stabilization of a pelvic ring instability, and attachment of external fixators to multiple bone fractures. During the intensive care period, we started enteral immunonutrition immediately after an abdominal compartment syndrome was removed by laparotomy and a jejunal catheter had been inserted. Multiple fractures were stabilized rapidly and the soft tissue wounds were covered by split skin grafts. Additionally, we provided sufficient analgesia with few side effects using an epidural catheter for continuous application of local anesthetics. In summary, an effective synthesis of up-to-date strategies for preclinical, emergency room, and intensive care management prevented multiple organ failure and achieved survival with good quality of life after a "fatal" multiple trauma.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MULTIPLE TRAUMA; PATHOPHYSIOLOGY; MANAGEMENT; ANESTHESIA; THERAPY; multiple trauma; shock; preclinical support; shock management; intensive care |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Anästhesiologie Medicine > Lehrstuhl für Unfallchirurgie Medicine > Lehrstuhl für Neurochirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 08 Sep 2021 09:52 |
| Last Modified: | 08 Sep 2021 09:52 |
| URI: | https://pred.uni-regensburg.de/id/eprint/38879 |
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