Combined injury

In some cases, it may happen that as a result of some kind of injury, an organ is damaged by two or more mechanisms. This is called a concomitant injury, or combined injury. A similar situation arises in the case of a combination of some main injury with additional injuries secondary to the main injury. The main injuries may include signs of a fracture, bruises of joints and other structures, as well as damage to internal organs. The secondary injury will be a consequence of the first.

Main criteria and combined injury factors

In addition, in traumatology and orthopedics, a number of additional factors are identified that determine the possibility of diagnosing a specific injury as combined. These factors include:

* Simultaneous damage to several anatomical areas * Coincidence of the mechanisms of action of both injuries * Cascading formation of secondary damage against the background of the main injury

In addition, medical data such as the patient’s age, medical history, presence of a certain disorder, etc. should be taken into account. Combined trauma is important and needs to be diagnosed, since the mechanisms of action will be different, and the structure of the damaged tissue is subject to multiple changes.

Diagnosis of combined injuries

Many specialists involved in the treatment of injuries believe that diagnosis of these diseases is a rather complex issue. The difficulty lies not only in assessing the degree of damage to a particular area of ​​the body, but also in correctly correlating the results with the state of all other damage. For some cases, an appropriate solution may be to treat each injury separately, since a combined injury can threaten the patient with dangerous consequences and complications. Diagnosis of combined trauma, among other measures, should include the use of multicomponent research methods, including visual examination, skin sensitivity, elements of systemic and neurological diagnostics, detailed blood tests, infusion therapy and, of course, assessment of the general condition of the cardiovascular system. If there is a need for a biopsy, the fixation process will require an immediate response in a clinical ward and extensive diagnostic examinations. During the diagnosis process, it is important for the physician to avoid diagnostic errors, including misinterpretation of objective test results and inappropriate use of additional diagnostic equipment. It is the adequate assessment and competent use of the mentioned techniques that is one of the key factors in the successful treatment of combined injury. With severe mechanical damage to tissue, pressure may arise resulting from the high speed of transmission of the damaging factor to individual organs. Subsequently, the integrity of the cell itself, and then the tissue, is lost, and cell destruction occurs, infiltration of plasma proteins, tissue

Combined trauma is simultaneous damage to two or more organs and tissues in different body systems. This form of injury is the most difficult and dangerous for the patient, as it can lead to multiple systemic disorders and complications.

Associated trauma can occur from a variety of injuries, such as car accidents, falls, work accidents, and other physical traumatic situations. In this case, simultaneous damage to internal organs, bones, soft tissues, nerve structures, blood vessels and tendons is possible.

Characteristic signs of combined injuries are the rapid onset of symptoms associated with damage to internal organs (for example, bleeding, choking, irregular heartbeat, or respiratory failure), as well as pain and other symptoms characteristic of damage to various tissues and systems of the body. The severity of injuries can vary and range from mild to very severe.

Treatment of combined injuries begins with resuscitation measures to maintain the vital functions of patients. It is possible to use analgesics, antibiotics and other medications in the presence of infectious diseases. Measures are also taken to stabilize the affected tissues (decompression of blood flow, control of blood pressure, etc.) and to prevent possible complications (bleeding, infections, etc.).

A key aspect of the treatment of associated trauma is the emergency intervention of specialists and the provision of surgical intervention if necessary if it is impossible to carry out all standard stages of treatment in an acceptable time. At the same time, patients are diagnosed and monitored for early detection of complications and monitoring of possible threats to the patient’s life.

Unfortunately, combined injuries can be fatal, especially when systems and organs important for life are damaged. However, medicine is constantly developing and advancing in new technologies and treatment methods,