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ID 115370
Title Alternative
A case of severe traumatic injury with emergency laparotomy in an emergency department
重傷外傷の認識が遅れ救急外来で緊急開腹術を行った1例
Author
Yamamoto, Masahiro Tokushima Prefectural Central Hospital
Nakano, Yuki Tokushima Prefectural Central Hospital
Kawashita, Yoichiro Tokushima Prefectural Central Hospital
Yuasa, Shino Tokushima Prefectural Central Hospital
Ota, Shogo Tokushima Prefectural Central Hospital
Yamada, Ryo Tokushima Prefectural Central Hospital
Fujiki, Kazuya Tokushima Prefectural Central Hospital
Inui, Tomohiro Tokushima Prefectural Central Hospital
Obara, Fumie Tokushima Prefectural Central Hospital
Sumitomo, Hiroyuki Tokushima Prefectural Central Hospital
Mori, Hayato Tokushima Prefectural Central Hospital
Shikata, Yuko Tokushima Prefectural Central Hospital
Chikakiyo, Motoya Tokushima Prefectural Central Hospital
Higashijima, Jun Tokushima Prefectural Central Hospital KAKEN Search Researchers
Omura, Takeshi Tokushima Prefectural Central Hospital
Hirose, Toshiyuki Tokushima Prefectural Central Hospital
Kuratate, Shinnji Tokushima Prefectural Central Hospital
Yagi, Toshiyuki Tokushima Prefectural Central Hospital
Keywords
severe traumatic injury
preventable trauma deaths(PTD)
teamwork
Content Type
Journal Article
Description
An81-year-old man fell down and bruised his left abdomen.
After a while the back pain got worse, and he admitted to the Emergency Department. At hospitals admission, several signs of shock were observed, and contrast-enhanced CT revealed a splenic injury. However, it took an hour and a half to diagnose and convene the trauma team because of the lack of information shared among medical staffs and the delay of the recognition as a severe traumatic injury. Since there was no available operation room at the time, nor there wasn’t time to transfer to another hospital, he was forced to undergo emergency open splenectomy at the Emergency Department. That decision saved his life as a result.
In 2002, it revealed that the deaths of about 40% of expired trauma patients who arrived at emergency centers were probably preventable. Since then, much progress has been made in establishing and generalizing the trauma care and evaluation guidelines.
Our hospital is also making progress in organizing a trauma team and the massive transfusion protocol. However, even if they are well maintained, we won’t be able to decrease the number of preventable trauma deaths(PTD)unless we diagnose it. Improving clinical management as well as making efforts on teamwork, leads to a rapid definitive care in trauma patients.
Journal Title
Shikoku Acta Medica
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
76
Issue
3-4
Start Page
191
End Page
196
Sort Key
191
Published Date
2020-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
Medical Sciences
University Hospital