The treatment of severe and multiple injuries in intensive care unit: report of 80 cases

W. Chen, J. Wang, Q.L. Feng, S.C. Xu, L. Xiang, L.Y. Feng, Z.L. Chang, L. Ba

Department of Critical Care Medicine, the People’s Hospital of Kecheng District, Quzhou, Zhejiang Province, China. bali_china@sina.com

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• Emergency Medicine

OBJECTIVE: To summarize our case load in managing severe and multiple injuries (SMI) in the Intensive Care Unit (ICU).

PATIENTS AND METHODS: The clinical data of 80 SMI patients treated in our ICU from January 2009 to June 2013 were analyzed.

RESULTS: Results of these 80 SMI patients, 60 (75%) were salvaged and 15 (18.75%) died. The causes of death included severe head injury (n=7), severe chest injury (n=3), destruction of injured abdominal organs (n=2), and multiple organ dysfunction syndrome (n=3). Five patients (7.50%) gave up treatment and were discharged upon their own requests. Early application of continuous renal replacement therapy (CRRT) and enteral nutrition (EN) improved outcomes.

CONCLUSIONS: The key interventions during the ICU treatment of SMI include: adequate analgesia and appropriate sedation; timely management of hypoxemia; reasonable fluid resuscitation and CRRT.

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