What is polytrauma in the English literature?
Polytrauma in the English-language literature - multiple trauma, polytrauma. Combined trauma is a collective concept that includes the following types of injuries:
What is polytrauma/TBI system of care?
VA » Health Care » Polytrauma/TBI System of Care » What is Polytrauma? What is Polytrauma? Polytrauma occurs when a person experiences injuries to multiple body parts and organ systems often, but not always, as a result of blast-related events.
Is polytrauma is increasing?
However, in general, the world has noted a tendency to increase the number of victims with multiple injuries. The frequency of polytrauma over the past decade has increased by 15%. The lethality with it is 16-60%, and in severe cases - 80-90%.
What is the hallmark of care for polytrauma?
The hallmark of care for polytrauma is a patient-centered, interdisciplinary approach that works with the injured individual and his or her family to address all aspects of the injury as it impacts the person’s life.
What causes polytrauma?
Polytrauma is when a patient has sustained multiple injuries, some of which may cause significant disability and may be life-threatening. Worldwide the most common cause of polytrauma is motor vehicle accidents; other causes include suicide and homicide attempts.
What is the difference between polytrauma and multiple trauma?
Polytrauma (multitrauma) is a short verbal equivalent used for severely injured patients usually with associated injury (i.e. two or more severe injuries in at least two areas of the body), less often with a multiple injury (i.e. two or more severe injuries in one body area).
Is polytrauma a medical diagnosis?
Therefore, polytrauma itself is not a diagnosis, but rather a qualifier that requires more information about the patient's condition. In practical use, multitrauma usually describes a patient emerging from an incident where: They have two or more associated serious injuries in at least two areas of the body, or.
What are examples of traumatic injuries?
Some common type of traumatic injuries include, but are not limited to:Traumatic brain injury.Spinal cord injury.Spine fractures.Amputation - traumatic.Facial trauma.Acoustic trauma.Crush injury.Concussion.More items...
How do you manage a patient with polytrauma?
In the polytrauma patient, all fractures should be initially immobilized, and the dislocations reduced and provisionally immobilized. Indications for surgery are recovery of spinal alignment, unstable lesions, neurological damage, and open fractures.
How long does it take to recover from polytrauma?
After TBI and polytrauma, the body begins a remarkable repair process. Recovery tends to follow an accelerating curve, which is most rapid in the first three months to a year after the injury, but continues at a slower pace for years later.
What is polytrauma treatment?
Polytrauma involves a breakdown of multiple systems in the body, therefore its treatment needs a team of specialists capable of handling the injuries of their system in tandem to the others.
What is addressed first in case of polytrauma?
For the individual physician, assessment of the polytraumatized patient is performed using a stepwise longitudinal approach, in which the airway is handled first and no procedures are initiated until the airway is secured. Then, breathing and circulation are addressed.
What is the role of a polytrauma unit?
Polytrauma Rehabilitation Center (PRC): Polytrauma Rehabilitation Centers coordinate the transfer and provision of health care for patients with Traumatic Brain Injury and other serious injuries within the VA system and between VA and the Department of Defense. They also ensure timely access to veterans' benefits.
What are the 3 types of trauma?
There are three main types of trauma: Acute, Chronic, or Complex. Acute trauma results from a single incident. Chronic trauma is repeated and prolonged such as domestic violence or abuse. Complex trauma is exposure to varied and multiple traumatic events, often of an invasive, interpersonal nature.
What are the 3 types of injury?
Acute, Overuse, and Chronic.
What is the most common traumatic injury?
As a result, the most common injury in assault victims is head trauma. Specific problems include facial fractures and brain injuries.
What is the ICD 10 code for multiple trauma?
ICD-10 code T07 for Unspecified multiple injuries is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
What are the three elements of the revised trauma score?
The Revised Trauma Score (RTS) is one of the more common scores aimed at measuring the functional consequences of an injury (Boyd et al., 1987). It uses three specific physiologic parameters: (1) the Glasgow Coma Scale (GCS), (2) systemic blood pressure (SBP), and (3) the respiratory rate (RR).
What is polytrauma RTA?
Polytrauma and multiple trauma are medical terms describing the condition of a person who has been subjected to multiple traumatic injuries, such as a serious head injury in addition to a serious burn.
How is polytrauma diagnosed?
Diagnosis of Polytrauma: After a road accident, the patient should immediately undergo an X-ray to determine the level of injuries in the cervical spine, chest or pelvis (termed as trauma series). Further, a CT scan and MRI are also conducted to investigate the injuries in detail.
Why is polytrauma considered a medical term?
Because of the complex nature of multiple injuries, polytrauma (also sometimes called “multitrauma”) retains a broad definition and application, a bit of medical shorthand that’s instantly perceived by medical professionals as severe and with potentially high treatment priority.
Where is Polytrauma admitted?
Polytrauma patients admitted to Dr. Johnson’s care arrive through the Ronald Reagan Medical Center at the University of California in Los Angeles.
What is polytrauma score?
Polytrauma typically refers to severely injured patients with two or more significant traumatic injuries, with a total injury severity score of greater than 15, or an abbreviated injury scale > 2 in at least two injury severity score regions ( Butcher and Balogh, 2009; Pape, 2012; Butcher et al., 2014 ). (For an explanation of severity scoring, see ...
What is the risk of polytrauma?
In polytrauma patients the risk of infection can be increased significantly secondary to intubation, invasive lines, and placement of intracranial monitors. Infections can be broken down into infection/colonization of ICP monitors and infection/colonization of peripheral lines/pneumonia. Most trials of prophylactic antibiotics have shown selection of more virulent gram-negative organisms. Currently BTF guidelines recommend at a level II the use of periprocedural antibiotics for intubation to reduce the incidence of pneumonia.9 This does not change length of stay or mortality rates. Early tracheostomy reduces mechanical ventilation days, but it does not alter mortality rate or nosocomial pneumonia rate. There is level III evidence against the routine use of prophylactic antibiotics for ventricular catheter placement. 9 There is currently level III evidence against the routine use of ventricular catheter exchange to prevent infection. 9
When was the Polytrauma System of Care developed?
The Polytrauma System of Care (PSC) was developed in 2004 from the existing infrastructure of the VHA brain injury centers in response to the increasing number of SMs returning with severe combat injuries and thereafter with the “invisible injures” of war.
Should polytrauma patients wait for stabilization?
Polytrauma patients who are medically compromised should wait for medical stabilization prior to operative treatment.
Can polytrauma be a secondary infection?
In polytrauma patients, the risk of infection can be increased significantly secondary to intubation, invasive lines, and placement of intracranial monitors. Infections can be broken down into infection/colonization of ICP monitors and infection/colonization of peripheral lines/pneumonia. Most trials of prophylactic antibiotics have shown selection of more virulent gram-negative organisms. Current BTF guidelines, at level IIa, recommend early tracheostomy to reduce mechanical ventilation days but recognize it does not alter mortality rate or nosocomial pneumonia rate. Level III evidence supports the use of antimicrobial-impregnated catheters to prevent catheter-related infections during external ventricular drain (EVD) use.8
Is orthopaedic surgery a member of trauma team?
Musculoskeletal injuries are common in polytrauma, and ideally, an orthopaedic surgeon should be a member of the trauma team.
Is a polytrauma a headache?
Polytrauma, including traumatic brain injury, has been associated with significant pain sequelae.1 Postconcussive headache (PCH) has historically been viewed as a singular headache disorder with some quoting an incidence of headache occurring in nearly 90% of concussive brain injuries (CBIs) with a fairly alarming rate of chronicity.
What is polytrauma in medical terms?
Polytrauma (multitrauma) is a short verbal equivalent used for severely injured patients usually with associated injury (i.e. two or more severe injuries in at least two areas of the body), less often with a multiple injury (i.e. two or more severe injuries in one body area). An important condition for the use of the term polytrauma is ...
What is a polytrauma?
Polytrauma (multitrauma) is a short verbal equivalent used for severely injured patients usually with associated injury (i.e. two or more severe injuries in at least two areas of the body), less often with a multiple injury (i.e. two or more severe injuries in one body area). An important condition ….
What is the term for the incidence of traumatic shock and/or hemorrhagic hypotensis?
An important condition for the use of the term polytrauma is the incidence of the traumatic shock and/or hemorrhagic hypotensis and a serious endangering of one or more vital functions of the organism. At least one out of two or more injuries or the sum total of all injuries endangers the life of the injured person with polytrauma.
Is polytrauma a synonym for polytrauma?
The term " polytraumatism" used in practice is not exactly a synonym of polytrauma, however, it has a direct generalizing relation to it. Polytraumatism embraces the broad health care and general societal problem area relating to severe associated and multiple injuries (i.e. to polytrauma).
Is polytrauma a variable or non-homogeneous?
At least one out of two or more injuries or the sum total of all injuries endangers the life of the injured person with polytrauma. For its variable and non-homogeneous content the term polytrauma cannot be used as a final diagnosis without an objective quantification of the extent of the severity of the injury.
How does polytrauma develop?
The mechanism of development of a combined trauma depends on the nature and type of injuries received. The main components of pathogenesis are acute blood loss, shock, traumatic illness:
What is polytrauma hospitalization?
All victims with suspicion of polytrauma for examination and treatment are hospitalized in a hospital with the possibility of providing specialized care. It is necessary to adhere to the logical strategy of hospitalization, which allows ultimately to get the most rapid recovery of the victim with the least number of complications, and not trivial to deliver the patient to the nearest medical institution. In the majority of victims with a combined trauma, the condition is initially assessed as severe or extremely difficult, so they are hospitalized in the ICU. When surgical intervention is required, intensive therapy is used as preoperative preparation, its purpose is to maintain vital functions and minimal sufficient preparation of the patient for surgery. Depending on the nature of the damage, patients need to be hospitalized or transferred to specialized hospitals - spinal cord injuries, burns, microsurgery, poisonings, psychiatric.
How many classifications are there for traumatic injuries?
Among the more than 50 classifications proposed for quantifying the severity of traumatic injuries and the prognosis of the disease, only a few have become widespread. The main requirements for scoring systems are high predictive value and convenience in application:
What is the goal of trauma treatment?
The goals of the treatment are intensive therapy of victims with a combined trauma - a system of medical measures aimed at preventing and correcting violations of life-critical functions, ensuring normal responses of the body to damage and achieving sustainable compensation.
What is the most common cause of combined trauma?
The most common cause of combined trauma is auto- and railway accidents, falling from height, violent damage (including gunshot and mine-explosive injuries, etc.). According to German researchers, in 55% of cases, polytrauma is the result of an accident, in 24% - industrial injuries and active rest, in 14% - falls from height. The most complex combinations of injuries are noted after an accident (57%), with chest injuries occurring in 45% of cases, TBC in 39%, and injuries in 69%. Important for the prediction of CCT, chest and abdominal trauma (in particular with a bleeding in the pre-hospital stage). Damage to the organs of the stomach and pelvic bones as a component of polytrauma is met in 25-35% of all cases (and in 97% they are closed). Due to the high incidence of soft tissue damage and bleeding, the lethality in pelvic injuries is 55% of cases. Damage to the spine as a component of polytrauma is met in 15-30% of all cases, in connection with which every patient is unconsciously suspected of spinal trauma.
Are we missing a good definition for polytrauma? Don't keep it to yourself..
The ASL fingerspelling provided here is most commonly used for proper names of people and places; it is also used in some languages for concepts for which no sign is available at that moment.
Definitions & Translations
Get instant definitions for any word that hits you anywhere on the web!
