A case of multiple organ injury resuscitated by collaboration of damage control surgery and interventional radiology in hybrid emergency room

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL

Acute Medicine & Surgery Pub Date : 2024-01-15 DOI:10.1002/ams2.925

Ryosuke Omoto, Yutaka Umemura, Masanari Kato, Yasutaka Nakahori, Satoshi Fujimi

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Abstract

Background

Hybrid emergency room systems, namely hybrid ER (HER), enable us to perform computed tomography (CT), surgery, and interventional radiology (IVR) without patient transfer. HER significantly shortened the time to CT after arrival and allowed us to achieve early intervention, resulting in reduced mortality from exsanguination in patients with severe blunt trauma.

Case Presentation

We encountered a patient diagnosed with left common iliac artery occlusion and dissection caused by blunt traumatic compressive abdominal injury with transection of the small intestine, kidney, and adrenal and pelvic ring fractures. Although the patient experienced cardiopulmonary arrest (CPA) immediately after CT, we performed damage control surgery (DCS) and IVR after temporary aortic occlusion in the HER and resuscitated the patient.

Conclusion

The present case, in which rapid diagnosis and intervention were performed and the patient was successfully resuscitated, supports the efficacy of the HER system for managing severe blunt trauma.

Abstract Image

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混合急诊室损伤控制外科和介入放射科合作抢救的一例多器官损伤病例

背景混合急诊室系统，即混合急诊室（HER），使我们能够在不转移病人的情况下进行计算机断层扫描（CT）、手术和介入放射学检查（IVR）。混合急诊室大大缩短了患者到达医院后进行 CT 检查的时间，使我们能够实现早期干预，从而降低了严重钝性创伤患者因失血过多而导致的死亡率。病例介绍我们遇到了一位被诊断为左侧髂总动脉闭塞和夹层的患者，其病因是腹部钝性创伤压迫性损伤，并伴有小肠、肾脏和肾上腺横断以及骨盆环骨折。虽然患者在 CT 检查后立即出现心肺停止（CPA），但我们在 HER 中暂时性主动脉闭塞后实施了损伤控制手术（DCS）和 IVR，并抢救了患者。结论在本病例中，我们进行了快速诊断和干预，并成功抢救了患者，这证明了 HER 系统在处理严重钝性创伤方面的功效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

自引率

12.50%

发文量

审稿时长

53 weeks