TY  - JOUR
PY  - 2018//
TI  - Management of a polytrauma in the maritime environment
JO  - International maritime health
A1  - Montocchio-Buadès, Cécile
A1  - Daurat, Maëlle
A1  - Ducombs, Macha
A1  - Vallet, Charles-Edouard
SP  - 126
EP  - 128
VL  - 69
IS  - 2
N2  - BACKGROUND: A polytraumatised person is a severely injured patient with an association of several injuries including at least one life-threatening. In an isolated and hostile environment like the maritime environment, the principles of early care and fast evacuation of a polytraumatised person are sometimes difficult to apply. CLINICAL CASE: We report the story of a patient with a bilateral fracture of the lower extremities following an accident on board a Moldavian tugboat off the coasts of Djibouti. He received a medical treatment thanks to the intervention of a French military frigate after receiving a message of assistance by very high frequency, and then a helicopter evacuation to the Medicine and Surgery "Bouffard" Hospital. The pre-hospital care of a polytraumatised patients with limb injuries and the specificities of an intervention in a maritime environment are described. The maritime international conventions relating to rescue at sea as well as the specificities of the management of an injured person on a ship sailing under the Moldavian flag are explained. Emphasis is placed on the importance of watchkeeping at sea and the presence on board of trained first-aid personnel. Finally, a point is made on the French organisation of health support for ships, through the Maritime Medical Consultation Centre and the Regional Operational Centres for Surveillance and Rescue. <br><br>CONCLUSIONS: This case illustrates that the solidarity of the seafarers allows a seriously wounded person to maintain, despite a degraded and isolated situation, the chances of successful management and preserve the functional prognosis.<p />  <p>Language: en</p>
LA  - en
SN  - 1641-9251
UR  - http://dx.doi.org/10.5603/IMH.2018.0018
ID  - ref1
ER  -