geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Damage Control Strategy and aggressive resuscitation in polytraumatized patient with severe hypothermia. Importance of multidisciplinary management from the territory to the operating room. Case report


, : Damage Control Strategy and aggressive resuscitation in polytraumatized patient with severe hypothermia. Importance of multidisciplinary management from the territory to the operating room. Case report. Annali Italiani di Chirurgia 84(4): 445-449

Our objective is to describe a case of hypothermic politrauma management in our country. We report the case of a 29-year-old male who was a beating victim and fell off from 4 meters, and was afterwards found after an unknown time interval. The patient came to our DEA in cardiac arrest and underwent to a aggressive and prolonged resuscitation which included sternotomy and extracorporeal circulation. The patient was discharged in 40th postoperative day without neurologic complications and complete recovery. Even without a dedicated protocol for the hypothermic politrauma the correct multidisciplinary approach lead to the complete recovery of the patient. In literature many papers describe the aggressive resuscitation of hypothermic patients underlining that the politrauma management must be multidisciplinar. We want to underline the importance of the "Damage control strategy" in a politrauma team in the major hospitals in our country. Cardiopulmonary resuscitation, Extracorporeal circulation, Hypothermia, Polytrauma, Trauma team.

US$29.90

PMID: 23917428


Other references

Taylor, J.M.; Macpherson, T.; McLaren, S.J.; Spears, I.; Weston, M., 2016: Two-Weeks of Repeated-Sprint Training in Soccer: To Turn or Not to Turn?. To compare the effects of two repeated-sprint training programs on fitness in soccer. Fifteen semi-professional soccer players (age 24 ± 4 y; body mass 77 ± 8 kg) completed 6 repeated-sprint training sessions over a two week period. Players were...

Nurden, P.; Ndoko, S.; Nurden, A.T., 2002: From the physiopathology of thrombosis to therapeutic targets. Structural changes in blood vessels associated with atherosclerosis are at the onset of arterial thrombosis. Thrombi form at the sites of plaque rupture. Plateletrich masses accumulate in the vessel lumen perturb blood flow, thereby aggravating is...

Bonn G.K.; Kalghatgi K.; Horne W.C.; Horvath C., 1990: Rapid metal interaction chromatography of proteins and peptides on micropellicular sorbents. Chromatographia 30(9-10): 484-488

Zdunić, G.; Godevac, D.; Milenković, M.; Vucićević, D.; Savikin, K.; Menković, N.; Petrović, S., 2010: Evaluation of Hypericum perforatum oil extracts for an antiinflammatory and gastroprotective activity in rats. Oil extracts of Hypericum perforatum L. (Oleum Hyperici) were prepared in three different ways according to the prescriptions from traditional medicine. Variability of constituents and biological activity were evaluated in the obtained oil extract...

Skredleta, V.; Nasinec, V.; Sindelar, L.; Gaudinova, A.; Lisa, L., 1984: Relationships among nitrogenase activity, dihydrogen evolution and root-nodule respiration in peas (Pisum sativum L.). In vitro phosphoenolpyruvate carboxylase activity levels in pea/Rhizobium leguminosarum root-nodule cytosol indirectly supported the hypothesis that dark CO2 fixation might serve as a source of C-compounds in nodule metabolism. Respiratory losses...

Sease, J.M.; Franklin, M.A.; Gerrald, K.R., 2013: Pharmacist management of patients with diabetes mellitus enrolled in a rural free clinic. The impact of pharmacist management of patients with diabetes mellitus enrolled in a rural free clinic was evaluated. Data from 95 patients continuously enrolled in a new pharmacist service were analyzed over 24 months. Patients were at least 18 y...

Morgan-Hughes, J.O.; Bangham, J.A., 1990: Pre-induction behaviour of children. A review of placebo-controlled trials of sedatives. Placebo-controlled trials of sedative premedication in children are reviewed in an attempt to determine which drugs have been shown to reduce the frequency with which children cry or appear apprehensive. Small samples and inappropriate statistical...

Desiderio, V.C.; Gambescia, J.M., 1960: Preliminary observations of the antisecretory properties of promandeline 263 and compound R-661. American Journal of Gastroenterology 34: 299-302

Marques Silva, S.; Oliveira, H.G. de; Holtz, A.M.; Sarmento, R. de A.; Serrao, J.E., 2003: Fat body morphology of Thyrinteina arnobia arnobia (Lepidoptera: Geometridae) larvae in function of two alimentary sources. Eucalyptus plantations in Brasil are affected periodically by several native herbivorous orthopterans, coleopteranss and lepidopterans. These insects feed on native Myrtaceae like guava or guayaba, Psidium guajava. Among the herbivorous insects wh...

Pöll, R.G.; Rozing, P.M., 1989: Early results with the Souter/Strathclyde elbow joint prosthesis in patients with chronic polyarthritis (rheumatoid arthritis). Aktuelle Probleme in Chirurgie und Orthopadie 37: 65-71