Dr. Punit Dilawari

Dr. Punit Dilawari

Polytrauma Management

Saving Lives Through Rapid, Expert Care

What is Polytrauma?

Polytrauma refers to multiple traumatic injuries occurring simultaneously, often involving damage to several body parts or organ systems. It typically results from major accidents such as road traffic collisions, falls from height, industrial accidents, or violent assaults.

Common Causes of Polytrauma
  • High-speed road traffic accidents
  • Falls from a significant height
  • Industrial and workplace accidents
  • Blast injuries (explosions)
  • Violent assaults or war injuries
Goals of Polytrauma Management
  • Immediate life-saving measures
  • Control of hemorrhage (bleeding)
  • Restoration of airway, breathing, and circulation (ABC protocol)
  • Rapid diagnosis using imaging (X-rays, CT scans, Ultrasound)
  • Prioritizing injuries based on severity
  • Preventing complications such as infection, organ failure, and disability
  • Early rehabilitation planning for better functional recovery
The Stages of Polytrauma Management
1. Primary Survey (Initial Assessment)

Focused on Airway, Breathing, Circulation, Disability, and Exposure (ABCDE approach). Control bleeding, secure airway, support breathing.

2. Resuscitation

IV fluids and blood transfusions, oxygen therapy, emergency surgeries if needed (e.g., controlling internal bleeding).

3. Secondary Survey

Complete head-to-toe examination, diagnostic imaging to detect hidden injuries.

4. Definitive Care

Surgical interventions (fracture fixation, organ repair), Intensive Care Unit (ICU) management, monitoring and treating complications.

5. Rehabilitation

Physical therapy, occupational therapy, psychological support, long-term recovery planning.

Why Specialized Polytrauma Care is Important
  • Time-sensitive: Immediate care can be the difference between life and death.
  • Multidisciplinary team: Trauma surgeons, orthopedic surgeons, neurosurgeons, anesthesiologists, intensivists, and rehabilitation specialists work together.
  • Advanced trauma facilities: Equipped with emergency operation theaters, ICUs, and diagnostic services.
  • Holistic recovery: Focus on not just survival but also quality of life after recovery.