MANAGEMENT AND OUTCOME OF SEVERE POLYTRAUMA IN A YOUNG ADULT - A CLINICAL CASE REPORT

Abstract

Polytrauma, defined as multiple traumatic injuries that may be life-threatening, poses significant challenges in emergency medicine. Prompt assessment and coordinated multidisciplinary care are critical for optimal outcomes. We report the case of a 30-year-old man who suffered severe polytrauma as a result of a fall from a height. Initial evaluation revealed hypotension, tachycardia, and multiple injuries, including traumatic brain injury, bilateral rib fractures, pulmonary contusion, tissue damage and fractures of the lateral pelvis and right medial femur from a fall on Almatura, and an avulsion fracture of the cuboid of the ankle. The patient was managed according to Advanced Trauma Life Support (ATLS) guidelines. Immediate interventions included intubation, chest tube placement, and fluid resuscitation. A comprehensive trauma team approach was implemented that included neurosurgery, orthopedic surgery and general surgery. The patient underwent emergency craniotomy for intracranial bleeding, femoral fixation, and pulmonary drainage. After the postoperative period, he was transferred to the intensive care unit for close monitoring. Despite initial complications, the patient showed gradual improvement. Rehabilitation started prematurely to address long-term functional impairments.