Journal of Trauma & Treatment

Shinichi Ishimatsu

Publications

• Case Report
  Therapeutic Strategy In Polytrauma: Two Cases Of Unstable Pelvic Fractures With Traumatic Aortic Injury
  
  Author(s): Tatsuma Fukuda, Toshiaki Mochizuki, Norio Otani, Takehiro Matsubara, Naoki Yahagi and Shinichi IshimatsuTatsuma Fukuda, Toshiaki Mochizuki, Norio Otani, Takehiro Matsubara, Naoki Yahagi and Shinichi Ishimatsu
  
  In life-threatening poly trauma, there is no defined therapeutic guidelines. We present optimal therapeutic strategy of life-threatening unstable pelvic fractures with traumatic aortic injury. Two cases of identical life-threatening poly trauma, unstable pelvic fractures with traumatic aortic injury, were taken to our emergency and critical care center. They were performed radical treatment for the unstable pelvic fractures before performing radical surgery for the aortic injury. The radical treatment for the unstable pelvic fractures included preventive TAE, which was performed regardless of the presence of extravasation. In the period leading up to the surgery for aortic injury, we conducted strict medical management of blood pressure and pulse using beta blockers and calcium channel blockers. By means of this strategy, we were able to perform early (18 hours after the accident in c.. Read More»
  

  Abstract