Polytrauma in War Time in A Clinical Case at the Mali Hospital in Bamako (Mali)

Abstract

Case Report According to Trillat and Patel, multiple traumas are a serious wounded person with at least two injuries. We bring here the case of a 22-year-old man, a military victim of chest trauma by firearm with entry orifice, the subclavicular region left and exit port, the axillary region facing the 4th, 5th and 6th left intercostal spaces, the wound on the anterior side of the arm with entry port, the middle 1/3 of the arm and exit port on 1/3 middle of the anterior aspect of the forearm. Initially taken over by the Barkhane force (a force made up of French soldiers deployed in the Sahel). The chest CT scan showed pneumothorax, pulmonary contusion and multiple rib fractures. Admitted to the operating room, he underwent chest drainage followed by wound trimming under general anesthesia plus orotracheal intubation. Five days later, he was referred to the Hospital of Mali for further treatment. The evolution was favorable from a clinical and para clinical point of view. Chest injuries are directly responsible for more than 25% of deaths. It is the 2nd cause of mortality in polytrauma victims. Knowledge of ballistic concepts is of capital assistance to the surgeon and the anesthetist.