The importance of the serial primary revaluation in the management of polytrauma – case report and literature review

Authors

  • Bruna Queiroz Coelho Faculdade de Medicina do ABC – FMABC.
  • Cristina Nery Carbajo Faculdade de Medicina do ABC – FMABC.
  • Hüllie Hottgen Martins Faculdade de Medicina do ABC – FMABC.
  • Matheus Polly Faculdade de Medicina do ABC – FMABC.
  • Rafael Furst Faculdade de Medicina do ABC – FMABC.
  • Afonso César Polimanti Faculdade de Medicina do ABC – FMABC.
  • Mario Paulo Faro Jr Faculdade de Medicina do ABC – FMABC.

DOI:

https://doi.org/10.11606/issn.1679-9836.v93i4p159-164

Keywords:

Advanced trauma life support care, Amputation, traumatic, Replantation, Shock, hemorrhagic, Blood vessels/ lesions, Case reports.

Abstract

The paper presentes the report of an accident patient of car x bicycle trauma who suffered traumatic amputation of the lower limbs. Therefore informations from eight articles of Pubmed database and new edition of ATLS book were collected, besides the preexisting informations from prehospital care, hospital care, conduct and evolution of the patient. The case described was carried out correct primary assessment and its serial reassessment, allowing early identification of lesions and therapeutic approach, with favorable postoperative patient. It is stated that the implementation of ATLS® protocol is largely responsible for the decrease in mortality of polytrauma patients. Serial reassessment proved to be indispensable for detection of patient bleeding, stabilization and final treatment.

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Author Biographies

  • Bruna Queiroz Coelho, Faculdade de Medicina do ABC – FMABC.
    Acadêmica de Medicina da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Cristina Nery Carbajo, Faculdade de Medicina do ABC – FMABC.
    Acadêmica de Medicina da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Hüllie Hottgen Martins, Faculdade de Medicina do ABC – FMABC.
    Acadêmico de Medicina da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Matheus Polly, Faculdade de Medicina do ABC – FMABC.
    Acadêmico de Medicina da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Rafael Furst, Faculdade de Medicina do ABC – FMABC.
    Professores adjunto da Cirurgia Vascular da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Afonso César Polimanti, Faculdade de Medicina do ABC – FMABC.
    Professores adjunto da Cirurgia Vascular da Faculdade de Medicina do ABC – FMABC, Santo André, SP.
  • Mario Paulo Faro Jr, Faculdade de Medicina do ABC – FMABC.
    Professor doutor regente da Disciplina Cirurgia Geral e de Urgência do Departamento de Cirurgia da Faculdade de Medicina do ABC – FMABC, Santo André, SP.

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Published

2014-12-08

Issue

Vol. 93 No. 4 (2014)

Section

Artigos

How to Cite

Coelho, B. Q., Carbajo, C. N., Martins, H. H., Polly, M., Furst, R., Polimanti, A. C., & Faro Jr, M. P. (2014). The importance of the serial primary revaluation in the management of polytrauma – case report and literature review. Revista De Medicina, 93(4), 159-164. https://doi.org/10.11606/issn.1679-9836.v93i4p159-164