Traumatismo abdominal cerrado más polifracturas

Abstract

The following clinical case was presented in order to analyze the characteristics of closed abdominal trauma and determine the kinematics that accompany the trauma, diagnosis and treatment according to the clinic that presents the post trauma patient. He is a 22-year-old “mestizo” patient, with no history of both family and personal relevance, who reports that he was driving a truck-like vehicle suffering a frontal impact with another heavy-load vehicle; the intensity and speed of it is unknown. It is attended by pre-hospital personnel who go to the place of the scene at 30 minutes from his office, witnesses say that 30 minutes ago there was a head-on collision between the truck and a medium-sized freight car, people who witnessed the accident take the driver putting him to the side of the road, at the moment there is evidence of a small deformed vehicle in the front part, there is no sign of a porthole on the windshield; Patient is in dorsal decubitus to the assessment presents Glasgow 13/15 moderate headache, intense pain in left arm possible fracture, rib cage with normal expansion, painful abdomen semi rigid to palpation is also evidence of hematoma at the level of the right knee, patient in the scene presented FC: 113 lpm FR: 21x minute TA: 110/90 Glasgow 13/15 0: 3 V: 3 M: 4 normal reactive pupils, in the light with this background is immobilized and the patient is transported to this HGDR health house.