1887
  1. Home
  2. A-Z Publications
  3. Journal of Emergency Medicine, Trauma and Acute Care
  4. Volume 2025, Issue 1
  5. Article
Volume 2025, Issue 1
  • ISSN: 1999-7086
  • EISSN: 1999-7094

Abstract

For multidisciplinary treatment, intrahospital transfer of seriously injured patients is considered a challenging and risky process. Here we describe the successful treatment of a 38-year-old male who was involved in a motor vehicle collision and sustained multiple severe injuries. He was admitted with hemorrhagic shock due to intra-abdominal and retroperitoneal bleeding, in addition to lung contusion, an unstable fracture of the pelvis, a thoracic spine fracture, and lower long-bone fractures. A prompt resuscitation was carried out, and the patient was transferred to the hybrid operating theater for treatment of multiple intra-abdominal hemorrhage sites (spleen, mesentery, and liver), including the angioembolization of multiple bleeding vessels in the retroperitoneal space. The combination of emergency surgery and intraoperative interventional radiology in the hybrid theater provides a rapid and appropriate management approach in unstable trauma patients with severe multiple injuries. It reduces complications related to intrahospital transfer of patients and improves clinical outcomes.

© 2025 Mahmood, Almadani, Alomar, El-Menyar, Rizoli, Al-Thani, licensee HBKU Press.
Loading

Article metrics loading...

/content/journals/10.5339/jemtac.2025.11
2025-02-17
2025-04-30
Loading full text...

Full text loading...

/deliver/fulltext/jemtac/2025/1/jemtac.2025.11.html?itemId=/content/journals/10.5339/jemtac.2025.11&mimeType=html&fmt=ahah

References

  1. Sahu KK, Mishra AK, Lal A, George SV, Siddiqui AD. Clinical spectrum, risk factors, management, and outcome of patients with retroperitoneal hematoma: A retrospective analysis of 3-year experience. Expert Rev Hematol. 2020May; 13:(5):545–5. https://doi.org/10.1080/17474086.2020.1733963
     [Google Scholar]
  2. Smith I, Fleming S, Cernaianu A. Mishaps during transport from the intensive care unit. Crit Care Med. 1990Mar; 18:(3):278–81. https://doi.org/10.1097/00003246-199003000-00006
     [Google Scholar]
  3. Indeck M, Peterson S, Smith J, Brotman S. Risks, costs and benefit of transporting ICU patients for special studies. J Trauma. 1988Jul; 28:(7):1020–25. https://doi.org/10.1097/00005373-198807000-00018
     [Google Scholar]
  4. Webb RK, Currie M, Morgan CA, Williamson JA, Mackay P, Russell WJ, et al. The Australian Incident Monitoring Study: An analysis of 2000 incident reports. Anaesth Intensive Care. 1993Oct; 21:(5):520–8. https://doi.org/10.1177/0310057X9302100507
     [Google Scholar]
  5. Kinoshita T, Yamakawa K, Matsuda H, Yoshikawa Y, Wada D, Hamasaki T, et al. The survival benefit of a novel trauma workflow that includes immediate whole-body computed tomography, surgery, and interventional radiology, all in one trauma resuscitation room: A retrospective historical control study. Ann Surg. 2019Feb; 269:(2):370–6. https://doi.org/10.1097/SLA.0000000000002527
     [Google Scholar]
  6. Umemura Y, Watanabe A, Kinoshita T, Morita N, Yamakawa K, Fujimi S. Hybrid emergency room shows maximum effect on trauma resuscitation when used in patients with higher severity. Trauma Acute Care Surg. 2021Feb 1; 90:(2):232–9. https://doi.org/10.1097/TA.0000000000003020
     [Google Scholar]
  7. Watanabe H, Matsumoto R, Kuramoto S, Muronoi T, Oka K, Shimojo Y, et al. Hybrid emergency rooms reduce the requirement of blood transfusion in patients with severe trauma. World J Emerg Surg. 2021Jun26; 16:(1):34. https://doi.org/10.1186/s13017-021-00377-w
     [Google Scholar]
  8. Jin H, Liu J. Application of the hybrid operating room in surgery: A systematic review. J Invest Surg. 2022Feb; 35:(2):378–89. https://doi.org/10.1080/08941939.2020.1838004
     [Google Scholar]
/content/journals/10.5339/jemtac.2025.11
Loading
Severe polytrauma with massive intraperitoneal and retroperitoneal hemorrhage successfully treated in a hybrid operating theater: A case report and literature review
Journal of Emergency Medicine, Trauma and Acute Care 2025, 11 (2025); https://doi.org/10.5339/jemtac.2025.11
/content/journals/10.5339/jemtac.2025.11
/content/journals/10.5339/jemtac.2025.11
Loading

Data & Media loading...

  • Article Type: Case Report
Keyword(s): damage control surgery, hybrid theater, interventional radiology, polytrauma and traumatic injury

Most Cited Most Cited RSS feed

This is a required field
Please enter a valid email address
Approval was a Success
Invalid data
An Error Occurred
Approval was partially successful, following selected items could not be processed due to error