Exsanguinating hemorrhage from coccygeal fracture dislocation: First report of a life-threatening injury
| Autor: | Bhaskar Sarkar, Amulya Rattan, Nilesh Jagne, Ruby Kataria |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
030213 general clinical medicine
medicine.medical_specialty Exsanguinating Hemorrhage Sacral spine business.industry 030230 surgery Critical Care and Intensive Care Medicine medicine.disease Sacrum Surgery 03 medical and health sciences 0302 clinical medicine Dislocation (syntax) Emergency Medicine medicine Fracture (geology) business Penetrating trauma |
| Zdroj: | Trauma. 24:170-173 |
| ISSN: | 1477-0350 1460-4086 |
| Popis: | Background: Penetrating injuries to sacrum are rare; only a few reports have been published in literature. We hereby report the first case of low velocity penetrating trauma leading to coccygeal fracture dislocation and exsanguination, without any major abdominal/vascular injury. Case Report: The patient underwent wound packing bedside and hemostatic resuscitation. Wound packing was successful in achieving hemostasis. He stabilized after 1.5 L of fluids, massive hemorrhage protocol institution (12-unit blood components), and vasopressor support. The presentation is unique and not reported in literature published so far. Conclusion: This report is a pertinent example of lifesaving potential of effective wound packing, which is often under-utilized. Possibility of associated neurological injury and residual foreign bodies is there in such cases. They should be duly assessed after stabilizing life-threatening injuries. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|