IS EARLY TOTAL CARE TREATMENT SAFE IN BORDERLINE POLYTRAUMA PATIENTS WITH FEMORAL FRACTURE?

摘要

EVEN TODAY THE POLYTRAUMA REMAINS A VERY CONTROVERSIAL SUBJECT DUE TO HIGH COMPLICATIONS RISK AND UNPREDICTABLE EVOLUTION OF PATIENTS.WE KNOW THAT MINUTES FOLLOWING TRAUMA, THE PATIENT IS EVOLVING TOWARD AN INTENSE AND GENERAL INFLAMMATORY RESPONSE, THAT PUTS THE PATIENT AT RISK FOR DEVELOPING GENERAL COMPLICATIONS.THE ACUTE POSTTRAUMATIC COAGULOPATHY IS ONE OF THEM WITH A HIGH MORTALITY RATE IF LEFT UNTREATED.WHEN WE HAVE A PATIENT LIKE THIS THAT ALSO ASSOCIATES FEMORAL FRACTURE AND IMPORTANT ASSOCIATED LESIONS LIKE HEAD TRAUMA, THORACIC TRAUMA, ABDOMINAL INJURY, OR PELVIC INJURY, THE RISK OF DEVELOPING GENERAL COMPLICATIONS IS EVEN HIGHER, SO A RAPID AND SAFE TREATMENT IS NEEDED.IS THESE CASES A COMPLEX MULTIDISCIPLINARY APPROACH IS NECESSARY IN ORDER TO INSURE SURVIVAL AND RECOVERY OF THE PATIENT.