J Korean Assoc Maxillofac Plast Reconstr Surg.  1999 Feb;21(1):65-68.

MULTIPLE FACIAL TRAUMA PATIENT ACCOMPANIED WITH SEVERE BLEEDING: REPORT OF A CASE

• Oh SS
• Yoo DJ
• Kim IK
• Choi JH
• Kim HD
• Oh NS
• Hwang HJ

Abstract

Multiple facial trauma patients should be carefully treated because of severe bleeding on extraoral and intraoral wound, possibility of airway obstruction and hypovolemic shock. Hypovolemic shock may be divided to hemorrhagic shock and non-hemorrhagic shock. Also hemorrhagic shock is divided to mild, moderate and severe shock according to the degree of blood volume depletion. Mild shock occurs in blood loss of less then 20% of blood volume and moderated shock does in blood loss of 20-40% of blood volume. And Severe shock occurs in blood loss of more than 40% of blood volume. The goal of emergency care of trauma patients is that respiration and perfusion should be recovered to satisfactory level and that normal vital sign is maintained. We reported the of multiple facial trauma patient with severe bleeding and hopovolemic shock and metabolic acidosis who was treated with adequate supply of fluid transfusion, intubation, tracheostomy and emergency operation.

MeSH Terms

Acidosis
Airway Obstruction
Blood Volume
Emergencies
Emergency Medical Services
Hemorrhage*
Humans
Intubation
Perfusion
Respiration
Shock
Shock, Hemorrhagic
Tracheostomy
Vital Signs
Wounds and Injuries