Fig. 26.1
The patient arrived fully conscious and in agonizing pain from extensive burns
In keeping with our trauma protocol, the patient underwent total body CT scan with intravenous contrast. In spite of extensive soft tissue injuries to the face and left orbital fracture, there was no intracranial bleeding and no spinal injury. CT scan of the thorax showed bilateral lung contusions and consolidation at the lung bases. No abdominal nor pelvic injury was found. Multiple open fractures of the left leg and foot were contaminated by shrapnel fragments in the skin and soft tissues.
An Intensive Care Ambulance was arranged to transfer the patient to a specialist burns unit.
26.2 Teaching Points
Extensive burns and the pain and morbidity associated with these injuries invariably leave a lasting impression on the treating physician and medical team. As we work in the trauma room, treating and stabilizing patients, focusing on the clinical problems at hand, is both obvious and essential.
26.3 Clinical Implications
Treating the war-wounded is neither new nor a departure from the normal practice of a team with extensive experience in combat trauma [3]. It is incumbent in the care that we provide that all facilities available to the Israeli population served by Ziv Medical Center are equally available to casualties from Syria.
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