Activate red alert, save female student in critical condition due to traffic accident

DNO - On October 10, a representative of Da Nang Hospital said that doctors had just activated the "Internal Red Alert" procedure, coordinating with multiple specialties to save the life of an 18-year-old female student who suffered multiple injuries, severe blood loss, respiratory failure, and circulatory failure due to a traffic accident.

Surgeons operate on TNPU patients Photo: LH

Previously, patient TNPU (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 an emergency, the on-duty staff reported to the leadership, activated the “Internal Red Alert”, and mobilized all resources to support. The patient was taken 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.

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

The teams performed surgery at the same time, drained the pleura, stopped bleeding in the left arm, and operated on the abdomen.

Dr. Tran Van Nghia, Department of Digestive Surgery (Da Nang Hospital) said that when opening the abdomen, a series of severely damaged organs were discovered such as: grade IV spleen rupture, grade II liver injury, grade I left kidney injury, stomach rupture, small intestine rupture, colon rupture, and blood in the abdomen.

The doctor prioritized hemostasis for the patient by surgery to remove the spleen and suture the liver to stop bleeding in parallel, cut the stomach in a wedge shape, resect the small intestine, and resect the colon with a Stapler to quickly stop bleeding and shorten the surgery time.

The surgery lasted nearly 5 hours under conditions of continuous resuscitation and surgery to save the patient's life.

The anesthesia, resuscitation and surgical teams coordinated quickly, promptly and accurately, so they were able to handle the injuries well and stabilize hemodynamics right on the operating table," said Dr. Nghia.

Doctor examines TNPU patient before discharge. Photo: LH

According to Dr. Ha Phuoc Hoang, Deputy Head of the Department of Anesthesia and Resuscitation (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 intensive care in the Surgical Intensive Care Unit (Department of Anesthesia and Resuscitation). After 10 days of treatment, the patient's health condition improved and he was transferred to the Department of Gastroenterology for further monitoring.

The patient was alert, ate normally, had stable vital signs and was discharged from the hospital.

Source: https://baodanang.vn/kich-hoat-bao-dong-do-cuu-song-nu-sinh-nguy-kich-do-tai-nan-giao-thong-3305966.html