SURGERY - LATEST Update! New Lecture Announcement... "Polytrauma – Surgical Approach"
Authors: D-r Risto Todorov & D-r Nebojsha Nastov
UKHB Sv. Naum OHridski - Skopje
Polytrauma is defined as injury of two or more regions or organic systems, of which one might be life-threatening, or may result in physical, cognitive, psychological or psycho-social disorders and functional disability.
Polytrauma patients have a high mortality rate, both before, as well as after reaching the hospital. This is the reason why a multidisciplinary approach is required for treating such patients.
The concepts of “pre-hospital trauma life support” and “advanced trauma life support” have been widely adopted as standards in treating severely injured patients. The mnemonic ABCDE, meaning Airway/Cervical spine protection , Breathing, Circulation, Disability/Neurologic assessment, Exposure, is a key part of the primary survey of a patient, which helps identify potentially life threatening conditions and begins resuscitation.
The secondary survey begins after the ABCDE has been completed and includes head to toe examination, a complete neurologic assessment and additional examinations such as X-ray and CT. Depending on the nature of the injuries and the overall condition of the patient, the team needs to decide if damage control surgery gives the patient a better chance of survival, rather than early total care surgery.