Team of doctors from Sahyadri Hospital, Nagar Road put up a multidisciplinary effort
Pune (Voice News Service): Team of doctors from Sahyadri Super Specialty Nagar Road led by Dr. Pradeep Suryavanshi and Dr. Sagar Lad put up a multidisciplinary effort to save a four year old child who had fallen from fifth floor of a building resulting in multiple serious injuries. After nearly 25 days , he is now fine and discharged, ready to recuperate and get on with his school again in a few weeks.
The four year old was casually peeping out from his residence balcony when his mother had gone down to receive his elder brother who had come back from school. Unfortunately while peeping out, the child lost his balance and fell down resulting in serious injuries. The parents were in a state of shock and took him to a nearby hospital. Understanding the gravity of the situation Dr. Vijaykumar Gutte and Dr.Rahul Kendre themselves wheeled the child and accompanied him to Sahyadri Hospital Nagar Road. This proved crucial as any delay would have put the child into extremely difficult situation.
Explaining the case Dr. Pradeep Suryavanshi ,HoD Neonatology and Pediatrics, Sahyadri Hospitals said that when the two doctors and parents came to the hospital, the child was in a serious state. The fall had resulted in fractured ribs (second, third and fourth) and arms including hands and legs and significant injuries to the jaw. But the most challenging situation and emergency was bleeding around his lungs (pulmonary hemorrhage) and blood clot in his brain. He was facing breathing difficulties. The conditions are called as Pneumothorax and Hemothorax. This is a life threatening situation as the accumulated blood and air around can put more pressure on the lungs and affect the function of the heart. (Pneumothorax, which is also known as a collapsed lung, happens when there is air outside the lung, in the space between the lung and the chest cavity. Hemothorax occurs when there is blood in that same space) . Apart from this blood clot had developed in his brain (contusion) resulting in swelling. The child was getting feats.
Dr Sagar Lad , Senior Paediatric Intensivist at Sahyadri Hospitals said that this was an extremely critical situation and required urgent intervention to save his life. All his parameters were in a precarious situation and therefore he was intubated and put on ventilator support. The first thing was to stop the bleeding. An ICD was put to drain the accumulated fluid and air to ease the pressure on lungs and heart. Although there was no bleeding in the brain, the fall had a severe impact on the veins. Medicines were simultaneously started to reduce the swelling in the brain and also stabilize his blood pressure. Blood plasma and platelets were also given. The stay in the ICU was challenging as his parameters including blood pressure kept fluctuating, his hemoglobin level was down and he was hardly responding for the first few days. However after about a week, he started responding with some movement of his hand and feet. He was taken off the ventilator on the 10th day. The parameters started stabilizing, but multiple fractures and injuries in the arms, jaws needed to be addressed. He had a mandibular fracture which is normally seen around facial bones, along with the nasal and zygomatic bones. He was operated by Maxillofacial surgeon Dr. Pushkar Gadre , while the hand and leg fractures were also treated conservatively with plasters.
Dr. Sagar Lad said that the other challenge was to counsel his parents as they were in a state of shock and not let them lose hope. The trauma sometimes can leave long term impact and we made sure we counselled them during these days and also at the time of discharge.
Dr. Pradeep Suryavanshi said that we as a team were extremely satisfied that he was talking and although he could not walk due to fractures, his movements otherwise were good.
Both the doctors opined that the prompt and quick response from Dr.Vijaykumar Gutte and Dr. Rahul Kendre, proved life saving for the child.
Ararali Dalal, CEO Sahyadri Hospitals said that this was an unprecedented situation and our team of doctors displayed their experience and competency in handling complicated procedures and situations. Their skills coupled with latest technology and multidisciplinary approach have made us proud and satisfied as the child will be able to lead a normal life.
The team of doctors included Dr. Pradeep Surywanshi, Dr. Sagar Lad, Dr. Pushkar Gadre along with paediatricians Dr. Ravindra Khetre, Dr. Pratik kataria, Dr. Vikas Patil, Dr. Priya Lokhande , Clinical Assistants Dr.Tushar Korat , Dr. Shreedutta Gange& Dr. Kavita Gange along with nurse, brothers and support staff.
