PMID: 19928657Nov 26, 2009Paper

Evaluation of patients with polytrauma treated in the emergency department

Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego
Krzysztof Karwan

Abstract

Polytrauma care is a very important diagnostic and therapeutic problem. The clinical profile of patients with multiorgan injuries admitted to the emergency department (ED) is different, similarly to severity of injuries. An evaluation of patients with polytrauma treated in ED and proposition of diagnostic and therapeutic algorithm in initial management in patients with multiply injuries. The analysis of medical data was performed in 72 polytraumized patients. Their age, sex, time of admission to ED, influence of alcohol and drugs, vital parameters, etiological factors, severity of injuries and the therapy after initial management in ED were studied. The majority of patients were admitted to ED in the morning. There were 25 females and 47 males. Their mean age was 41 years. Patients between 21-40 years of age represented half of all victims. There were 10 patients under influence of alcohol or drugs. Vital signs like Glasgow Coma Scale (GCS), systolic blood pressure (SBP), and respiratory rate (RR) evaluated at the initial examination and counted as a values of Revised Trauma Score (RTS) in most cases were 7.841. The traffic accidents were the most frequent ethiologic factors. Head injuries, chest injuries and fractures were the...Continue Reading

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