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

Volume : VIII, Issue : XII, December - 2019

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 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 & 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.