MANAGEMENT OF POLYTRAUMA WITH DIAPHRAGMATIC RUPTURE & TRAUMATIC BRAIN INJURY - CASE REPORT & LITERATURE REVIEW

Aditya Prasad Padhy, Chinmaya Ranjan Behera, P S Pujari, Sudhir Kumar Panighrahi, Amaresh Mishra

Abstract


Polytrauma with traumatic brain injury due to road traffic accident involving multiple rib fracture, long bone fracture , pneumothorax, surgical emphysema and rupture of the left hemidiaphragm poses a serious initial pathophysiologic challenge in the form of onset of “ Lethal triad” i.e., metabolic acidosis, hypothermia & coagulopathy. Such patients need a proper triage, admission into a well equipped and committed trauma care centre with multispecialty departments, a well equipped ICU and round the clock interventional radiology, laboratory facility. Adoption of “Damage control surgery” can prevent “Second hit” injuries and improve survival

Keywords


Polytrauma, traumatic brain injury, diaphragmatic rupture, multiple bone fracture, surgical emphysema

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References


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