A clinical case of emergency medical care for a patient with polytrauma

The article presents a clinical case of the supervision of a patient who received a severe combined injury as a result of a road traffic accident: closed craniocerebral injury, multiple fractures of the bones of the limbs and chest, damage to the organs of the thoracic and abdominal cavities.
Aim: to review a clinical case of providing emergency care to a patient with severe combined trauma after an accident, to show the effectiveness of a staged and multidisciplinary approach to the management of a patient with severe polytrauma resulting from an accident.
Materials and methods. The study used materials from the medical documentation of the surgical department of the City Clinical Hospital named after. Archbishop Luke of Tambov", Regional Medical Information System.
Results and discussion. In a multidisciplinary hospital, the following diagnostic and treatment measures were carried out aimed at making a diagnosis, developing tactics for managing the patient, combating traumatic shock, and eliminating respiratory failure. After relative stabilization of the patient’s condition, the patient urgently underwent drainage of the pleural cavity in order to eliminate hemopneumothorax and laparotomy, the purpose of which was to stop intra-abdominal bleeding; on the 9th day the patient was transferred to level 3 trauma center, where surgical interventions for limb fractures were performed on the 20th, 42nd and 63rd days after injury. Such a step-by-step, multidisciplinary approach to the management of a patient with polytrauma resulting from an accident contributed to a successful diagnostic search, development of the most optimal treatment measures in terms of methods and time parameters, the absence of severe and life-threatening complications, early recovery and recovery of the patient.
Conclusions. A staged multidisciplinary approach involving highly qualified specialists, timely elimination of life-threatening injuries with parallel anti-shock measures, selection of the optimal sequence of surgical interventions for limb fractures in terms of timing and condition of the patient, early mobilization measures contributed to the successful treatment and recovery of the patient with polytrauma as a result of an accident.

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