A Case Report on Complex Polytrauma with Multiple Complications

Authors

  • Prakash Nathaniel Kumar Sarella Department of Pharmacology, Aditya College of Pharmacy, Surampalem, East Godavari, Andhra Pradesh, India.
  • Seetha Sirisha Maddali Department of Pharmacology, Government General Hospital, Kakinada, East Godavari, Andhra Pradesh, India.
  • Patrick Oliver Asogwa Department of Pharmacology, Aditya College of Pharmacy, Surampalem, East Godavari, Andhra Pradesh, India.
  • Ravishankar Kakarparthy Department of Pharmacology, Aditya College of Pharmacy, Surampalem, East Godavari, Andhra Pradesh, India.

Keywords:

Polytrauma, Hypertension, Bradycardia, Post-traumatic stress, Muscle atrophy, Multidisciplinary care

Abstract

Polytrauma involving injury to multiple organ systems poses tremendous challenges in emergency management and long term recovery. Averting disastrous complications while managing life-threatening conditions frequently requires painful judgements that weigh delivering prompt definitive treatment of any specific problem against cautious, step-by-step management of the entire frail system of patient care. This case report aims to convey the challenges inherent to polytrauma through injury to multiple organ systems simultaneously. Prevention of the worst fate remains the sole definition of success, attained not through perfection but persistence. Though complex, diligent management of threats is possible through a continuum of care. Monitoring entire systems, not individual tissues or limbs alone, determines the difference between loss and preserved ability. This complex case of traumatic leg fractures in a patient with uncontrolled hypertension and bradycardia highlights the challenges of surgical management in such cases. Despite hours of cardiovascular resuscitation, pharmacologic control of blood pressure and pacemaker placement, delayed healing of the fractures and development of post-traumatic stress disorder with severe anxiety and insomnia occurred. This case emphasizes the importance of vigilance, coordination of specialists, willingness to delay procedures when stability cannot be achieved pharmacologically and diligence in post-operative monitoring for complications. The patient continues rehabilitation and close follow-up aims to maximize function and manage health issues to prevent future catastrophic events.

Downloads

Download data is not yet available.

References

Gebhard F, Huber-Lang M. Polytrauma-pathophysiology and management principles. Langenbeck’s archives of surgery. 2008; 393: 825-31.

Faist E, Baue AE, Dittmer H, Heberer G. Multiple organ failure in polytrauma patients. Journal of Trauma and Acute Care Surgery. 1983; 23(9):775-87.

Stiletto R, Hunerkopf M, Schnabel M, Gotzen L, Baacke M. Continuous stroke volume monitoring as "hemodynamic online monitoring" in polytrauma intensive care patients: technically possible–clinically necessary? Der Unfallchirurg. 2001; 104(11):1043-7.

Gironda RJ, Clark ME, Ruff RL, Chait S, Craine M, Walker R, et al. Traumatic brain injury, polytrauma and pain: Challenges and treatment strategies for the polytrauma rehabilitation. Rehabilitation psychology. 2009; 54(3):247.

Strasser DC, Uomoto JM, Smits SJ. The interdisciplinary team and polytrauma rehabilitation: Prescription for partnership. Archives of Physical Medicine and Rehabilitation. 2008; 89(1):179-81.

Brenner LA, Vanderploeg RD, Terrio H. Assessment and diagnosis of mild traumatic brain injury, posttraumatic stress disorder and other polytrauma conditions: burden of adversity hypothesis. Rehabilitation psychology. 2009; 54(3):239.

Silverstein LA, Higgins JT, Henderson S. Health-related quality of life after polytrauma: A systematic review. Journal of Trauma Nursing| JTN. 2021; 28(2):107-18.

Bouillon B, Neugebauer E. Outcome after polytrauma. Langenbeck’s archives of surgery. 1998; 383: 228-34.

Upadhyaya GK, Iyengar KP, Jain VK, Garg R. Evolving concepts and strategies in the management of polytrauma patients. Journal of clinical orthopaedics and trauma. 2021;12(1):58-65.

Stahel PF, Heyde CE, Wyrwich W, Ertel W. Current concepts of polytrauma management: from ATLS to “damage control”. Der Orthopade. 2005; 34:823-36.

Stahel PF, Heyde CE, Ertel W. Current concepts of polytrauma management. European Journal of Trauma. 2005; 31:200-11.

Krettek C, Simon RG, Tscherne H. Management priorities in patients with polytrauma. Langenbeck’s archives of surgery. 1998; 383: 220-7.

Published

2023-04-30
Statistics
72 Views | 40 Downloads
Citatons

How to Cite

Prakash Nathaniel Kumar Sarella, Seetha Sirisha Maddali, Patrick Oliver Asogwa, and Ravishankar Kakarparthy. “A Case Report on Complex Polytrauma With Multiple Complications”. Journal of Clinical and Pharmaceutical Research, vol. 3, no. 2, Apr. 2023, pp. 1-4, https://jcpr.in/index.php/journal/article/view/80.

Issue

Section

Case Study