Managementul politraumei din perspectiva terapiei intensive

Abstract

Polytrauma means multiple injuries of various anatomical regions out of which at least one or a single combination has vital risk. As a complex process, polytrauma requires primary, secondary and tertiary evaluation of critically ill patient, both systemically and targeted. The most accurate definition of major trauma is found in terms of injury severity score. Multiple trauma patients belong to the category of those who, during secondary and tertiary management, benefit substantially from the support of intensive care services, where opportunities for specific monitoring and supportive therapy are provided. Study objectives: to define the demographic profile of the patient with multiple injuries, to identify multiple injury prevalence in emergency section casuistry, to establish the types of trauma and their weight. The study was conducted over a period of 12 months, inretrospect, on a lot of 384 trauma patients. Trauma patient's demographic profile shows that it is a male, aged mainly between 31-40 years, followed by those aged between 51-60 years. In emergency section casuistry multiple injuries occupies 8% of pathology and the weights on types of trauma are comparable with the data in the literature.