IS EARLY TOTAL CARE TREATMENT SAFE IN BORDERLINE POLYTRAUMA PATIENTS WITH FEMORAL FRACTURE?

Paul NICULESCU, Cristina PATRU, Victor NICULESCU, Nicolae CIUREA, Alexandru DIMITRIU

doi:10.38173/RST.2020.S1.3:23-30

IS EARLY TOTAL CARE TREATMENT SAFE IN BORDERLINE POLYTRAUMA PATIENTS WITH FEMORAL FRACTURE?

PA

Paul NICULESCU¹

CR

Cristina PATRU²

VI

Victor NICULESCU³

NI

Nicolae CIUREA⁴

AL

Alexandru DIMITRIU⁵

¹ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

² Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

³ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

⁴ Clinical Emergency Hospital, Bucharest, Romania; Orthopaedics and Trauma Clinic

⁵ "Carol Davila" University of Medicine and Pharmacy Bucharest, Romania; Clinical Emergency Hospital; Orthopaedics and Trauma Clinic.

DOI https://doi.org/10.38173/RST.2020.S1.3:23-30

Received 06 February 2020

Revised 12 March 2020

Accepted 28 March 2020

Available Online 02 June 2020

Abstract

EVEN TODAY THE POLYTRAUMA REMAINS A VERY CONTROVERSIAL SUBJECT DUE TO HIGH COMPLICATIONS RISK AND UNPREDICTABLE EVOLUTION OF PATIENTS. WE KNOW THAT MINUTES FOLLOWING TRAUMA, THE PATIENT IS EVOLVING TOWARD AN INTENSE AND GENERAL INFLAMMATORY RESPONSE, THAT PUT S THE PATIENT AT RISK FOR DEVELOPING GENERAL COMPLICATIONS. THE ACUTE POSTTRAUMATIC COAGULOPATHY IS ONE OF THEM WITH A HIGH MORTALITY RATE IF LEFT UNTREATED. WHEN WE HAVE A PATIENT LIKE THIS THAT ALSO ASSOCIATES FEMORAL FRACTURE AND IMPORTANT ASSOCIATED LE SIONS LIKE HEAD TRAUMA, THORACIC TRAUMA, ABDOMINAL INJURY, OR PELVIC INJURY, THE RISK OF DEVELOPING GENERAL COMPLICATIONS IS EVEN H IGHER, SO A RAPID AND SAFE TREATMENT IS NEEDED. IS THESE CASES A COMPLEX MULTIDISCIPLINARY APPROACH IS NECESSARY IN ORDER TO INSURE SURVIVAL AND RECOVERY OF THE PATIENT.

Keywords

POLYTRAUMA FEMORAL FRACTURE EARLY TOTAL CARE (ETC) DAMAGE

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