HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

What Does This Lab Reports Regarding A Major Accident Indicate?

Posted on Tue, 10 Jun 2014

Question: Patient is presented as a 33 yr. old single mother of 2 young children. She was ina vehicle accident as the restrained driver. Upon arrival to ER, her Hct was 27.9 & Hgb of 6.8. she was complaining of severe pain in her sides, stomach & R thigh. Within 1 hr. levels dropped to Hgb 5.4 & Hct 25.6. After 3 days, she was found to have an elevated WBC.

Answered by Dr. Kerry Pottinger (55 minutes later)

Brief Answer:
Could you explain what your question is please.

Detailed Answer:
Hi,
Thank you for using Healthcare Magic.
If you could explain what your question is, I will be happy to help you.
Regards,
Dr K A Pottinger

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kerry Pottinger (2 hours later)

With all the lab values & symptoms so noted ... what disorders and/or conditions would the patient potentially be suffering from ... and what treatment or applicable therapy would be required and/or recommended ??

Answered by Dr. Kerry Pottinger (17 minutes later)

Brief Answer:
Resus including primary survey then to theatre.

Detailed Answer:
Hi,
Thank you for the further information. The lab values suggest she has suffered massive and ongoing hemorrhage. This is likely to be due to abdominal, pelvic and femoral trauma. I suggest she needs to go straight to theatre for laparotomy following primary survey and securing her airway. She needs imaging to identify fractures and fixation of these. Secondary survey can be completed at the earliest opportunity. Post op to ICU.
I hope this helps. If you have any further questions, please do not hesitate to contact me.
Regards,
Dr K A Pottinger,
MBChB. FRCA

Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar