MEDizzy
MEDizzy
Clifford Aneke
Clifford Anekeabout 6 years ago
Trauma!!!

Trauma!!!

A twenty-three-year old male patient was brought to our emergency service by an ambulance. Trauma mechanism reported by the paramedic team indicated that the patient was seated in the driver seat without his seatbelt on, and he had crushed his face to the steering wheel during the accident. After the initial examination, it was noted that the patient’s bilateral orbitas; maxillary, zygomatic and nasal bone structures were not observed. The patient was conscious, breathing spontaneously in tripod position and he had tachypnea. He had midfacial bleeding  due to maxillofacial trauma.  He was cooperated and oriented but vocal and ocular responses were suboptimal due to damages. Vital signs were: blood pressure 160/90 mmHg, heart rate 110,  respiratory rate 22 and fingertip saturation 99%.(Figure1, figure 2, Figure 3) On his primary survey, his  hemorrhage control was maintained with aspiration. Oxygen saturation was normal while sitting but he was not able to keep his airway open in supine position.  After stabilization of the patient, urgent plastic surgery was planned. Because of his severe facial fractures, surgical airway (tracheostomy) placement was performed accompanied by a otolaryngologist. On his secondary survey, other system examinations were normal. In his cranial computed tomography (CT) imaging there was neither damage in brain parenchyma; nor hemorrhage or hematoma on epidural, subdural or subarachoidal spaces. Lateral, superior, medial and inferior walls of bilateral orbitas and bilateral multiple zygomatic arch fractures were detected. Right bulbus oculi was not in its cavity, left bulbus oculi was displaced  antero-superiorly. The relationship between the left temporomandibular joint was absent. After performing cranial imaging, the patient was referred to Plastic and Reconstructive Surgery for  operation.

Source: https://www.instagram.com/p/Bwavo0LHKhy/?utm_source=ig_share_sheet&igshid=1f2hxjhhl8go0
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Top rated comment
about 6 years ago

I like to see his face pic after surgery

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about 6 years ago

That's terrible...I like to see his picture after surgery

about 6 years ago

That is a MAJOR reconstruction!!😕

about 6 years ago

I pray that this person doesn’t lose his eyes🙏

about 6 years ago

Trauma very terribly!! 😕

about 6 years ago

Fake

about 6 years ago

Going to need a facial transplant. Wow.

over 3 years ago

How about those vitals though, I can only hope if I ever get messed up the that extent that my vitals are that strong

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