IJAR - Indian Journal of Applied Research

Sudhir Kumar Panigrahi; Subrat Kumar Mohanty; Subrajit Mishra

Volume : VII, Issue : XII, December - 2017

POLYTRAUMA DUE TO ROAD TRAFFIC ACCIDENT WITH DIAPHRAGMATIC RUPTURE, COMPLICATED BY TRAUMATIC BRAIN INJURY.

Sudhir Kumar Panigrahi, Subrat Kumar Mohanty, Subrajit Mishra

Abstract :

Polytrauma with traumatic ain 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 and 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