Abstract:
According CRICO Strategies, among the most common and costly medical errors committed in emergency departments are
establishing a delay in diagnosis or misdiagnosis, which can have a tragic end for the patient.
The management of multiple trauma patients presents a worldwide diagnostic and therapeutic challenge to trauma,
orthopedic and general surgeons. Significant injuries can be missed during primary and secondary surveys in multiply
injured patients, for whom resuscitation, diagnosis and therapy have to proceed simultaneously. Many factors involved in
the initial resuscitation of the multiple trauma patients, such as altered level of consciousness, hemodynamic instability, or
inexperience and inadequate diagnostic evaluation, may lead to missed injuries or a „medical errors”. The injuries can be
missed at any stage of the management of the trauma patient, including intraoperatively, and may involve all regions of the
body.
Management of polytraumatised patient need application of primary and secondary survey protocols, as is the ATLS
(Advanced Trauma Life Support) protocol, will minimize the chance of life-threatening critical medical errors.
Also, intraoperative careful approach is needed for all patients, but especially for hemodynamically unstable patients, giving
priority to other regions of the human body than appreciated as trauma, for the presence of vascular lesions.
Examination of polytraumatised patient with special vigilance in a tertiary look, after patient returns to consciousness, will
help detect missed lesions during the initial assessment. In most cases we detect missed lesions. This approach will lead to
early detection of missed injuries and reduce lost their consequences.
Description:
State University of Medicine and Pharmacy “Nicolae Testemițanu”, Republic of Moldova, Institute of Emergency Medicine, Chișinău, Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016