Diagnosis of multiple injuries
Traumatology / / May 13, 2016
difficulty of early diagnosis of lesions with multiple injuries caused by various factors: the dire state of the victims, mutual laminating symptoms, masking and distortion typical signs, changes in pain sensitivity at politravmatizatsii tissue, the presence of severe traumatic focus, distracting the attention of the patient and doctors from other damage.Diagnostic studies in patients with polytrauma performed consistently, systematically, at the same time providing a landmark aid, resuscitation and treatment.
full diagnosis polytrauma set by analyzing the landmark diagnoses - indicative, preliminary pre-hospital, preliminary intensive care, pre-clinical, clinical final, pathology (from the dead).
tentative diagnosis is determined by the data, which reported from the scene witnesses when calling an ambulance.The basis for such a diagnosis are the circumstances of the injury, the general condition of the victim and the obvious damage that may set a layman.More accurate information reported traffic poli
Central to this diagnosis is to determine the life-threatening injuries and damages that may give a fatal complication.Directed search for such damage is an important principle in the diagnosis of acute injury.The quality of the preliminary diagnosis depends entirely on the experience and knowledge of the emergency physician.The accuracy of preliminary diagnosis, in turn, depend on the tactics, and focus aid on pre-hospital stage.
- Multiple rib fractures
- Multiple fractures pelvis
- Multiple fractures of foot
- Multiple fractures of femur
- Multiple fractures of the tibia
- Multiple fractures ankle
- multiple fractures of the bones of the knee joint
- multiple fractures of the bones and the bones of one segment
- clinical picture of multiple fractures pelvis
- Combined treatment of injuries
- multiple fractures treatment ribs
correct direction of diagnostic search give knowledge of typicaldamage under certain injury mechanisms.
emergence of multiple fractures, usually associated with severe trauma (a blow, compression, crushing).The direct impact of force is the cause of fractures in 20-30 % cases, indirect action - 30-40%, the collection of direct and indirect action of forces - at 30-50%.Mixed mechanism is more common in traffic crashes and falls from a height.In 30% of victims find out the detailed mechanism of each fracture is not possible due to the instantaneous injury, loss of consciousness and retrograde amnesia, extreme severity of the condition and intoxication.In some cases, a picture can not recover damages by comparing the clinical data of the patient and the stories and the witnesses.