Da Nang Hospital saves the life of an 18-year-old female student with severe multiple injuries

On October 10, Da Nang Hospital announced that doctors had just activated the "Internal Red Alert" procedure, coordinating with other specialties to save the life of an 18-year-old female student who suffered multiple injuries due to a traffic accident.

Doctors at Da Nang Hospital coordinated interdisciplinary emergency surgery to save the patient's life.

Previously, patient TNPU (18 years old, residing in Ba Na commune, Da Nang city) was transferred to Da Nang hospital by the 115 Emergency Center in a lethargic state, with pale skin and mucous membranes, distended abdomen, chest and abdominal pain, deformed left arm, unmeasurable blood pressure, and undetectable peripheral pulse. An urgent ultrasound detected a large amount of blood in the abdomen.

Recognizing this as a top emergency, the on-duty shift reported to the on-duty leader, activated the "Internal Red Alert", mobilized all resources, and took the patient straight to the operating room with a diagnosis of multiple injuries, closed abdominal trauma, closed chest trauma, left arm fracture, and head and face trauma.

Within minutes, doctors and nurses from many related specialties such as Anesthesia, Gastroenterology, Thoracic Surgery, Neurosurgery, Urology, and Trauma Surgery were present in the operating room, coordinating anesthesia, resuscitation, and surgery in parallel.

The teams performed simultaneous surgery, pleural drainage, left arm bleeding, and abdominal surgery.

The patient is currently awake, eating and drinking normally, has stable vital signs and has been discharged from the hospital.

Dr. Tran Van Nghia (Digestive Surgery Department, Da Nang Hospital) said that when opening the abdomen, a series of severely damaged organs were discovered: grade IV spleen rupture, grade II liver injury, grade I left kidney injury, stomach rupture, small intestine rupture, colon rupture, and abdominal bleeding. Priority was given to stopping the patient's bleeding by surgery to remove the spleen and suture the liver to stop the bleeding in parallel, wedge gastrectomy, small intestine resection, and colon resection with Stapler to stop the bleeding quickly and shorten the surgery time.

The surgery lasted nearly 5 hours under conditions of continuous resuscitation and surgery to fight for every minute of the patient's life.

“This is a complicated case, life is measured in minutes. If there is a delay, the patient may not survive. During the surgery, the patient had to be transfused with 10 units of blood and blood products, and used high doses of vasopressors to maintain hemodynamics,” Dr. Tran Van Nghia added.

According to Dr. Ha Phuoc Hoang, Deputy Head of the Anesthesia and Resuscitation Department, Da Nang Hospital, the key factor in saving the patient's life is the timely activation of the "Red Alert" procedure, along with the smooth coordination between specialties, the extensive experience of the surgical team, anesthesia and resuscitation, and the use of modern hemostasis techniques.

After surgery, the patient was put on a ventilator and actively resuscitated in the Surgical Intensive Care Room (Department of Anesthesia and Resuscitation).

Thank you letter from TNPU patient's relative

After 10 days of treatment, the patient's health condition improved and he was transferred to the Department of Gastroenterology for further monitoring. Currently, the patient is alert, eating normally, has stable vital signs and has been discharged from the hospital.

XUAN QUYNH

Source: https://www.sggp.org.vn/benh-vien-da-nang-cuu-song-nu-sinh-18-tuoi-bi-da-chan-thuong-nang-post817350.html