Traumatic injuries in pregnant women: A case of motor vehicle accident for "Ground Round" discussion

Abstract

Abstract:The main objective for introducing this case study is to create a platform from which the importance of road traffic related injuries and traumas can be emphasized and discussed within and across various fields of investigation. The long term goal is to entice public campaign around unmet needs for higher road safety measures to reduce primary, secondary, and tertiary risks of injuries and traumas. Case:A 28-year-old pregnant woman with a 16-week gestational age fetus was involved in a road car crash resulting in multiple traumas. Evaluation and treatment was initiated in the local Urgent Care Unit and continued in the emergency department and operation room. Patient underwent the following procedures: laparotomy, diverting colostomy, terminating pregnancy, right calcaneal traction and long leg splint, as well as multiple irrigation-debridements. Finally, the wound was left open and the patient was admitted to Intensive Care Unit. We hope that the introduction of this case for a "Ground Round" discussion will stir up a comprehensive discussion regarding the injury and trauma related preventive measures as well as treatment approaches in cases involving pregnant women in car accidents, and will bring about a holistic overview of this issue by the experts in various fields.

Management of pathological femoral fracture secondary to breast cancer in pregnancy: A case report

“…Furthermore, since there are few studies regarding osteolytic lesions in pregnancy and no data on the treatment of such femoral fractures in the literature, to the best of our knowledge, the present case report is the first to report the management of pathological femoral fracture secondary to breast cancer in pregnancy. Traumatic injuries are detected in 6-7% of pregnant women (10). These are the most common non-obstetric risk factors for miscarriage and preterm delivery.…”

“…Damage control orthopedic principles are applied when early total care is impossible (11). In addition, previous studies have reported rare cases of fractures due to transient osteoporosis during pregnancy, which may be treated with internal fixation or arthroplasty (10,12).…”

Traumatic injuries in pregnant women: Anesthesiology aspects

“…Such patients, therefore, are more likely to respond differently to anesthetic agents. In reference to the current case, 1 we do not have any data to show patient’s blood pressure, heart rate, respiratory rate and urine output. However, according to her medical chart, we do know that her estimated blood lost was 10-15%.…”