European Journal of Molecular & Clinical Medicine

Abstract

In the past decades, major improvements are made to manage the polytraumatised patients caused a significant reduction in mortality from 40% in 1970s to around 10% in 2000. Before 30 years, the modality of treatment for multiple injured patient with fractures was to maintain the fractured limb in a splint, until the patient is stabilized enough to undergo surgery for fracture fixation. Data collection was started after obtaining clearance from the Institution Ethical Committee. Informed consent was taken from study participants. After explaining the purpose of the survey, data was collected from all patients regarding personal information like age and gender. Vital signs (Pulse Rate, Blood pressure, Respiratory Rate and Temperature) and Parameters like Urine output and Saturation at room air were measured. Serum lactate levels were measured at the time of admission and after 1-6 days of the surgery. At the time of admission, majority (67.6%) had high serum lactate levels. None had less than 4.5mg/dl. Only 2% had higher Serum lactate levels after 1-6 days of admission.