Transfusion of 5 liters of blood to save victim of multiple organ rupture due to traffic accident

Accordingly, the patient in the case is Mr. TCL (born in 1974, residing in Dong Thanh commune, Hoc Mon district, Ho Chi Minh City), was admitted to the hospital in a state of drowsiness, pale mucous membranes, low blood pressure, extensive skin abrasions on the right chest and abdomen, and peeling skin on the left calf. A quick ultrasound at the bedside detected a large amount of free fluid in the abdomen, which looked like blood, and free air in the abdomen.

The male patient was intubated, given mechanical ventilation, fluid replacement, emergency blood transfusion, and vasopressor drugs to control blood pressure. The patient then underwent an emergency chest-abdomen-brain CT scan to confirm the diagnosis and urgently activated the in-hospital “red alert” procedure. The hospital mobilized many doctors from many departments to perform both intraoperative resuscitation and hemostasis surgery and treat injuries.

The patient is out of danger and is still under special monitoring.

Master, BSCK1 Nguyen Van Manh, Department of Abdominal Surgery, in charge of the surgery, said: “This is a particularly severe case of multiple organ rupture trauma that required both resuscitation and surgery. The biggest challenge is to quickly control the patient's bleeding and blood loss, then to handle many complex organ injuries (in the liver, kidney, pancreas), especially having to perform pancreaticoduodenal resection in an emergency situation.”

After more than 6 hours of surgery, the patient was transfused with more than 5 liters of blood and blood products, using 2 types of high-dose vasopressors to control blood pressure. The patient was then transferred to the Surgical Intensive Care Unit for further monitoring and treatment.

Here, the patient continues to be sedated, ventilated, given strong antibiotics in combination, maintained with vasopressors, hemostatic drugs, continued blood replacement and blood products in proportion, screened and treated for coagulation disorders, acid-base disorders, kept warm to avoid hypothermia, and closely monitored for secondary bleeding in the abdomen.

Currently, the patient has overcome the critical stage and is still being specially monitored at the Department of Intensive Care Surgery, to prevent infectious complications and practice feeding through a tube to restore digestive circulation.

Source: https://www.congluan.vn/truyen-5-lit-mau-cuu-nan-nhan-vo-da-tang-vi-tai-nan-giao-thong-post261505.html