Navigating the ‘Triangle of Death’: A Multidisciplinary Approach in Severe Multi-Trauma Management

Author:

Zhang Yushan1,Jian Fuxia1,Wang Liang2,Chen Hao1,Wu Zhengbin1,Zhong Shili1ORCID

Affiliation:

1. Department of Intensive Care Medicine, Army Medical Center of PLA, Yuzhong District, Chongqing, China

2. Dermatology, Army Medical Center of PLA, Yuzhong District, Chongqing, China

Abstract

This case report details the challenging management of a 45-year-old male construction worker who suffered severe multiple injuries after a fall and subsequent collision with cement mixers. The patient presented with extensive injuries, including amputation, fractures and internal bleeding, leading to a state known as the ‘triangle of death’. Despite the initial grim prognosis, evidenced by an ISS score of 28 and a mortality risk coefficient of 89.56%, the patient was successfully resuscitated and managed through a multidisciplinary approach. This included damage control resuscitation, emergency vascular interventions and targeted temperature management for brain protection. The patient’s recovery highlights the effectiveness of comprehensive trauma management and the critical role of coordinated care in severe multi-trauma cases.

Funder

Chongqing Medical Key Discipline Construction Project

Publisher

SAGE Publications

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