The initial management of the polytrauma patient follows the Advanced Trauma Life Support (ATLS) practice of airway and cervical spine control, breathing and circulation. Assessment of injuries takes place initially in the form of a primary survey, during which time life-threatening injuries are excluded. This is followed by a secondary survey when a more detailed assessment of injuries is carr...

The paper describe the use of rFVIIa in the management of massive bleeding in a patient with polytrauma involving liver injury. An 18-year-old girl with severe polytrauma sustained during a bus-car collision. She had multiple musculoskeletal injuries, severe concussion of the liver with amputation of the left liver lobe, disruption of the left hepatic vein from the inferior vena cava, and impai...

INTRODUCTION Acromion fractures are extremely rare. There are no common accepted treatment schemes and fixation methods We aimed to present a case which may contribute to the diagnosis and treatment of acromion fracture in a patient with polytrauma. PRESENTATION OF CASE Acromion fracture associated with scapula and clavicle fractures was diagnosed in 40 years old patient and treated with open...

INTRODUCTION The authors present an interesting case of a 19-year-old male who presented as a polytrauma patient following a fall from a height. PRESENTATION OF CASE He was initially managed on the intensive care unit with intracranial pressure bolt monitoring after being intubated and sedated and having his other traumatic injuries stabilized. Upon attempting to wean sedation and extubation ...