ABDOMINAL TRAUMA AND BRAIN INJURY– DIFFICULT CONDITION, FREQUENT ASSOCIATION, SPECIFIC CONSEQUENCES FOR EMERGENCY MEDICAL PREHOSPITAL TEAM

  • Luciana Rotaru Associate Professor, Department of Emergency Medicine and First Aid – University of Medicine and Pharmacy Craiova, ED - SMURD County Clinical Hospital Craiova, Romania
  • Cristian Boeriu Associate Professor, Department of Emergency Medicine and First Aid – University of Medicine and Pharmacy Tirgu – Mures, ED - SMURD County Clinical Hospital Tirgu, Mures, Romania
Keywords: multiple trauma, abdominal trauma, head trauma, traumatic brain injury, hemorrhagic shock, neurogenic shock, golden hour

Abstract

Background: Brain injury provides a significant percentage of, preventable deaths '' in trauma, makes threaten in the highest degree the survival chance leads to definitive impairment of the brain functions, generates traumatic disability and concomitant lesion associations.

Purpose of the paper is to highlight specific diagnosis but also management and evolution medical issues that each of the two lesion types generates and which can lead to misdiagnosis symptoms and signs. We focused on the specific ways trough abdominal and brain injury interacts each other to produce a traumatic complex evolving and adding secondary traumatic effects In the same time we aimed to distinguish very particular emergency approach standards to minimize the risks of worsening evolution

The method of study: We analyzed 398 patients assisted by the prehospital teams related to ED County Hospital Craiova (2009 – 2012) with different association of multiple trauma lesions but significant abdominal and brain trauma association

Conclusions:
1. Clinical examination data are difficult to analyze in the presence of altered mental status and paraclinically resources must be widespread or systematic used.
2. Cervical spine lesions or spinal shock hide most significantly clinical abdominal signs.
3. Neurogenic shock can create confusion in the hemorrhagic shock interpretation.
4. Secondary brain injury is maintained or worsening by the presence of shock, but overcorrection of those to.
5. General anesthesia should be early considered in tactics, techniques and means custom, which has undeniable benefits in combating shock and brain protection
6. Temperature control should be considered

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How to Cite
1.
Luciana Rotaru, Cristian Boeriu. ABDOMINAL TRAUMA AND BRAIN INJURY– DIFFICULT CONDITION, FREQUENT ASSOCIATION, SPECIFIC CONSEQUENCES FOR EMERGENCY MEDICAL PREHOSPITAL TEAM. Med. res. chronicles [Internet]. 2016Feb.29 [cited 2024Dec.22];3(1):40-1. Available from: https://medrech.com/index.php/medrech/article/view/143
Issue
Vol. 3 No. 1 (2016): Jan-Feb
Section
Review Article