On July 11, the patient lost control of his motorbike and fell into a pile of steel, resulting in a series of serious injuries: ruptured liver, ruptured diaphragm, ruptured colon, lung impact, complex chest and abdominal wounds exposing all internal organs, lungs, and multiple injuries to the face, chest, and abdomen.
The patient was urgently transferred from Hung Yen General Hospital to Viet Duc Friendship Hospital in a state of severe shock, severe blood loss, and life-threatening every minute.
According to Dr. Cao Manh Thau, Department of Oncology and Radiation Therapy, Viet Duc Friendship Hospital, as soon as the hospital received the patient, it activated the internal red alert, mobilizing specialized teams: Emergency, Hepatobiliary Surgery, Emergency Digestive Surgery, Orthopedic Trauma, Maxillofacial Surgery, Plastic and Cosmetic Surgery, Anesthesia and Surgical Resuscitation to coordinate emergency treatment.
During the surgery, the patient was continuously transfused with 4 liters of blood to compensate for the severe blood loss. The doctors performed a pleural drain, sutured the ruptured liver, cut the colon and placed both ends to create a temporary colostomy; combined the broken arm and ankle bones; treated complex wounds that lost the skin and fascia covering the organs in the chest and abdomen; and treated complex wounds in the maxillofacial area.
Thanks to close coordination, high expertise and timely response between specialties, after emergency and intensive resuscitation, the patient's condition has gradually stabilized. Currently, the patient is conscious, stable and has been transferred to other specialties for intensive treatment at Viet Duc Friendship Hospital.
Dr. Cao Manh Thau, who directly participated in the emergency, recommended that when a patient is in shock, has a lot of bleeding, exposed internal organs, or has head, chest, or abdominal injuries, first aid must be given and the patient quickly taken to the nearest medical facility or directly to Viet Duc Friendship Hospital.
Early emergency care, timely and proper first aid, multidisciplinary coordination, and maintaining communication channels for consultation between hospitals are decisive factors in the survival and reduction of sequelae for patients.
For patients with complex multiple trauma requiring surgery, accurate assessment of the patient's condition; preparation of personnel for surgery; intraoperative resuscitation; rapid surgery to resolve critical injuries and especially good post-operative care and resuscitation are extremely important.
Source: https://nhandan.vn/vo-gan-da-chan-thuong-sau-tai-nan-giao-thong-nghiem-trong-post897393.html
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