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Polytrauma due to road accident of single light vehicle against plane tree, not wearing seatbelt

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Histórico

High-speed road accident of single light vehicle against plane tree, not wearing seatbelt.

 

Initial treatment by Fire Department, Glasgow = 10, obnubilation, both pupils non-reactive, unstable hemodynamics with blood pressure: 75/40,pulse: 110, responding to IV fluid therapy, no respiratory distress, and incarceration of both inferior extremities with open fracture of the right ankle requiring 45 min to be released.

1.5 liters IV fluids, intubation after rapid induction sequence, mechanical ventilation, sedation, reduction of fracture of right inferior extremity. Prophylactic antibiotics.Medical transport to university hospital.

 

The body scan is provided.

Ver resultados

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Abdomen CT, Portal venous phase, Axial plane

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Abdomen CT, Portal venous phase, Coronal plane

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Abdomen CT, Delayed phase, Axial plane

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Chest, Abdomen and Pelvis, Sagittal plane, Bone window

Occipital Condyle Fracture, Thoracic injuries, Hepatic trauma, Adrenal hemorrhage Right ankle, Axial plane, Bone window

Right ankle, Axial plane, Bone window

Occipital Condyle Fracture, Thoracic injuries, Hepatic trauma, Adrenal hemorrhage Right ankle, Coronal plane, Bone window

Right ankle, Coronal plane, Bone window

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Right ankle, Sagittal plane, Bone window

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Right ankle, 3D VR