Accident And Poly Trauma
Accident And Poly Trauma
Accidents and injuries are increasing in everyday life by alarming proportions. Road trauma is now designated as a no. 1 killer in young patients by WHO
R.N H Hospital Pvt Ltd recognized this long ago and today it is a leading tertiary referral trauma center in central india.
Emergency Trauma Services
Polytrauma is a medical term describing the condition of a person who has been subjected to multiple traumatic injuries such as serious head injuries and multiple bone fractures in addition to serious burns mostly associated with motor vehicle crashes.
At RNH Hospital, we have to deal with polytrauma patients every day. Fracture of limbs and head injuries are commonly associated findings we frequently deal with. Our emergency team follows ATLd (Advanced Trauma Life Support) Guidelines to stabilize the patient.
We also follow the protocol of damage control orthopaedics which is an approach that contains and stabilizes orthopaedic injury until the time when the overall condition of the patient is optimized. Damage control focuses on control of hemorrhage management of soft tissue injury and achievement of provisional fracture stability.
On admission to hospital, any trauma patient should immediately undergo X-ray diagnosis of their cervical spine, chest and pelvis commonly known as trauma series to ascertain possible life threatening injuries. Examples would be Cervical Vertebra, Severely fractured pelvis or Hemothorax.
Once initial survey is completed, X-ray may be taken of the limbs to asses the possibility of other fractures. It is also quite common in severe trauma for patients to be sent directly to CT or Surgery Theatre if they require emergency treatment. Ventilator support may be effective in treating some polytrauma patients with pulmonary or cardio pulmonary fracture.
During these initial evaluations in the emergency department, the team delivering care to a severely injured patient often expands significantly, with members being added based on the specific injuries and the prior medical conditions, age, or social situation of the patient or event. For example, orthopedic, neurologic, eye, dental, genital, urinary, cardiac, or vascular injuries may all require immediate evaluation by a specialist. Pregnant and pediatric victims of severe trauma need special care, as do those with significant underlying medical problems such as diabetes or cancer. Social services and pastoral care are often beneficial, given the tremendous stresses such an event causes to a victim of severe trauma and his or her family.
Managment
Stabilization of a polytrauma patient may initially be achieved in the emergency department or operating room, but the course of recovery is far from over. Continued sophisticated management of the patient in a skilled nursing setting (such as a surgical intensive care unit) is critical to good outcomes. It is particularly important where definitive management of injuries is delayed in favor of immediate stabilization—known as damage-control surgery. This delay can improve the patient’s physiologic state at the time of definitive treatment, but it requires intensive and deliberate strategies. Secondary illness may complicate the patient’s recovery, possibly with aspiration pneumonia, infection, stress ulcers, exacerbation of chronic disease, thromboembolism, or contrast-induced nephropathy.
Should the patient recover enough to leave the intensive care unit and hospital, long-term recovery is again a team effort. Physical, speech, and occupational therapists are key players in maximizing patients’ return to normal life. Input from occupational medicine and psychiatry helps patients manage consequences of trauma and significant life change. The special services available in rehab hospitals can be particularly beneficial in supplying the needs of patients with complicated injuries.
While the road to recovery for polytrauma victims may be one of fits and starts with many complications along the way, it offers clinicians the chance to reverse a tragedy. By working together, teams of care professionals can have the satisfaction of helping critically ill patients return to their lives.
Common surgeries that are performed at our setup for trauma patients are intramedullary nailing of bones, plating, spinal surgeries, plastic surgery procedures, state of the art rehabilitation and physiotherapy procedures. Intra-operative X-ray (C-arm) is commonly used for perfect alignment of bones and for better fixation. Round the clock support from blood bank ensures better management of patients.
We at RNH Hospital get immense pleasure to see our patients returning to normal life after being treated for life threatening polytrauma.
We manage all types of orthopaedic trauma, fractures and surgeries
EMERGENCY MEDICAL SERVICES (E.M.S)
which gives injured patient swift and comprehensive care treated with round the clock team of doctors and surgeon specialized in every area of medical treatment required for such an event.
TRAUMA REHAB
Competent physiotherapist’s who specialize in trauma specific rehabilitation facilitate early return to functional status.
EMS AMBULANCE
For rapid transport of trauma victims we have a fleet of well equipped ambulances (ICU on wheels) manned by qualified paramedics and doctors.
Intensive Trauma Care Unit
R.N.H provides a temperature controlled ,bacteria free environment essential for speedy recovery of trauma patients. Experienced and qualified Intensivist provide round the clock monitoring of the patient’s condition and response to the ongoing treatment.
The ICU has been designed and equipped to cater specifically to the need of orthopaedic poly-trauma patients. it is furnished with specially designed beds that permit multiple settings. Central oxygen supply, central suction unit, modern ventilators and monitoring equipment.
