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    Road Traffic Accidents Polytrauma

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    Pushpanjali Crosslay Hospital
    A 24-year-old motorcyclist was in a head-on collision with a car going 60 km/hr and was found unconscious at the scene. He was brought to the emergency room with injuries including an open fracture of the right tibia. The panel discussed the management of polytrauma patients, focusing on the primary and secondary surveys to address life-threatening injuries first before evaluating for additional injuries. This includes establishing the airway, treating for breathing issues like tension pneumothorax, stopping bleeding, and assessing disability before fully exposing and examining the patient head to toe. Trauma care requires a coordinated team approach.

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    Road Traffic Accidents Polytrauma

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    Pushpanjali Crosslay Hospital
    57 views13 pages
    A 24-year-old motorcyclist was in a head-on collision with a car going 60 km/hr and was found unconscious at the scene. He was brought to the emergency room with injuries including an open fracture of the right tibia. The panel discussed the management of polytrauma patients, focusing on the primary and secondary surveys to address life-threatening injuries first before evaluating for additional injuries. This includes establishing the airway, treating for breathing issues like tension pneumothorax, stopping bleeding, and assessing disability before fully exposing and examining the patient head to toe. Trauma care requires a coordinated team approach.

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    Dr.Sandeep Jain

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    A 24-year-old motorcyclist was in a head-on collision with a car going 60 km/hr and was found unconscious at the scene. He was brought to the emergency room with injuries including an open fracture of the right tibia. The panel discussed the management of polytrauma patients, focusing on the primary and secondary surveys to address life-threatening injuries first before evaluating for additional injuries. This includes establishing the airway, treating for breathing issues like tension pneumothorax, stopping bleeding, and assessing disability before fully exposing and examining the patient head to toe. Trauma care requires a coordinated team approach.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPS, PDF, TXT or read online from Scribd
    Download as pps, pdf, or txt
    57 views13 pages

    Road Traffic Accidents Polytrauma

    Uploaded by

    Pushpanjali Crosslay Hospital
    A 24-year-old motorcyclist was in a head-on collision with a car going 60 km/hr and was found unconscious at the scene. He was brought to the emergency room with injuries including an open fracture of the right tibia. The panel discussed the management of polytrauma patients, focusing on the primary and secondary surveys to address life-threatening injuries first before evaluating for additional injuries. This includes establishing the airway, treating for breathing issues like tension pneumothorax, stopping bleeding, and assessing disability before fully exposing and examining the patient head to toe. Trauma care requires a coordinated team approach.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPS, PDF, TXT or read online from Scribd
    Download as pps, pdf, or txt
    of 13

    Road Traffic Accidents

    Polytrauma
    Polytrauma Management
    Panelists:
    Dr. Karanjit S. Narang (Neurosurgeon)
    Dr. Manoj Bansal (Maxillofacial Surgeon)
    Dr. Ashish Sao (Orthopedic Surgeon)
    Dr. Amit Gupta (Intensivist)

    Moderator:
    Dr. Sandeep Jain (Trauma Surgeon)
    Case scenario
     24 year old, non helmeted motorcyclist, head on collision
    with a car, at speed of 60 km/hr, found unconscious at
    the scene

     In ER: Unconscious, responding to pain by localization


    PR- 110/ min
    BP- 80/60 mmHg
    RR- 32 / min
    SpO2: 86% on Oxygen @8 lit/min
    GCS – E1 M5 V1, pupils – BERTL
    Bilateral black eyes
    Bleeding from mouth and nose
    Open fracture right tibia
    Polytrauma management

    Primary Survey

    Resuscitation
    re- evaluation
    Secondary survey

    Re- evaluation
    Management sequence
     Primary survey: treat life threatening conditions
    Airway with C-spine control
    Breathing
    Circulation
    Disability
    Exposure and environment control

    Re- evaluation
    Airway
     Jaw thrust with in-line neck immobilization

     Oropharyngeal suction with use of adjuncts

     Definitive airway – intubation /cricothyroidotomy

     Hard cervical collar


    Breathing

     Lethal six
    Airway obstruction
    Tension pneumothorax
    Massive hemothorax
    Open pneumothorax
    Flail Chest
    Pericardial tamponade
    Circulation
     Stoppage of bleeding
     Intravenous fluid infusion by two wide bore IV
    cannulae – Ringer’s Lactate
     Blood and blood products

    Shock in trauma is hypovolemic until proven


    otherwise
    Disability assessment

     Level of consciousness
    Glasgow Coma Scale
    A – Alert
    V – responding to verbal commands
    P – responding to painful stimulus
    U – unresponsive

     Pupillary size and light reaction


    Exposure & Environment Control
    Prevention of hypothermia
    Management sequence
     Secondary survey: look for other injuries

    Head to toe examination

    History- Allergies
    Medications
    Past illnesses and pregnancy
    Last meal time
    Events leading to injury
    Trauma care is a teamwork
    A captain is as good as his team

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