Short Communication
Ativor V
Abstract
A 6-year-old boy presented to the Accident & Emergency Department of Komfo Anokye Teaching Hospital (KATH) Kumasi, Ghana with hemorrhagic shock and severe crush injury of both lower extremities following a roll-over accident by a automobile while crossing a highway. Initial therapy included aggressive resuscitation with IV fluids and hemotransfusion. He was quickly delivered to the OR for assessment of injury extent: 1.) Severe crush injury of both lower limbs with gross soft tissue injuries beyond limb salvage. 2) Huge degloving injury extending from the lower half the rear to the perineum, sparing skin of scrotum and penis. Disarticulation at the left hip level of the left lower limb and a trans-femur amputation of the proper lower limb were performed also as a debridement of the degloving injury of the rear. The patient was treated within the Clinical Decision Unit for 16 days thanks to unavailable vacancy within the pediatric ICU (PICU).