Medical news October 9: Risk of brain aneurysm damage after trauma
Neurological Intensive Care Specialists, Institute of Neurology at 108 Central Military Hospital, coordinated with emergency specialists and successfully treated a case of severe traumatic brain injury with complications of hemorrhagic shock due to rupture of the internal carotid artery pseudoaneurysm.
Warning of the risk of brain aneurysm damage after trauma
Recently, specialists in Neurological Resuscitation, Institute of Neurology at 108 Central Military Hospital, coordinated with emergency specialists and successfully treated a case of severe traumatic brain injury with complications of hemorrhagic shock due to rupture of the internal carotid artery pseudoaneurysm.
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| Doctors in a brain aneurysm intervention after trauma. |
The male patient, born in 2008, suffered a traffic accident that resulted in severe traumatic brain injury. The patient was actively coordinated with the emergency department, anesthesiology, and neurosurgery to perform surgical resuscitation and emergency care for the patient.
In particular, the patient suddenly went into hemorrhagic shock with symptoms of deep coma, low blood pressure, rapid heart rate, and bleeding through the nose and mouth. Tests and imaging showed a ruptured internal carotid artery pseudoaneurysm, causing severe hemorrhagic shock.
Faced with the patient's critical condition, the on-duty team quickly performed intensive resuscitation, stabilized circulation, and coordinated with doctors from the Department of Neurovascular Intervention, Institute of Neurology to perform emergency vascular intervention: intensive resuscitation, fluid infusion, vasopressors, mechanical ventilation, emergency cerebral vascular intervention, and internal carotid artery pseudoaneurysm embolization. Thanks to the timely and synchronous coordination between the hospital's specialties, the patient was saved, gradually recovered, and was discharged from the hospital.
This case demonstrates the importance of early detection and timely intervention for dangerous complications such as ruptured cerebral pseudoaneurysm in traumatic brain injury. Emergency neuroresuscitation and timely cerebrovascular intervention are key to saving the patient's life.
According to doctors here, through this case, it will help raise awareness among the community and medical staff about the importance of timely detection and treatment of dangerous complications in traumatic brain injury, especially complications of ruptured internal carotid artery pseudoaneurysm.
Ministry of Health requests verification of incident of maternal death after cesarean section in Lam Dong
The Ministry of Health has just sent an urgent dispatch to the Lam Dong Provincial Department of Health regarding the verification and reporting of a medical incident in the case of a mother dying after a cesarean section at Lam Dong General Hospital.
Accordingly, the Ministry of Health requested the Lam Dong Provincial Department of Health to direct the Provincial General Hospital to establish a professional council to review the process of receiving, monitoring, caring for and handling the case of pregnant woman K'H according to the provisions of the Law on Medical Examination and Treatment; notify the conclusion of the professional council to the pregnant woman's family and the mass media; and send a report to the Ministry of Health.
The Ministry of Health requests the Lam Dong Provincial Department of Health to strictly handle collectives and individuals if they are found to have professional errors, spirit, service attitude and professional ethics according to current regulations; continue to direct and rectify obstetrics and gynecology examination and treatment facilities in the area to strictly implement Directive No. 06, dated August 11, 2017 of the Minister of Health on strengthening maternal and newborn health care to reduce maternal and newborn mortality.
Previously, the family of Ms. K'L (residing in Lam Ha district, Lam Dong) sent a petition to the Board of Directors of Lam Dong General Hospital, requesting clarification on the death of their relative, Ms. K'H (29 years old), 11 days after giving birth by cesarean section at the hospital.
On September 15, pregnant woman K'H was admitted to the hospital with ruptured water. Doctors examined and diagnosed that the patient and fetus had abnormal signs, so they decided to perform a cesarean section. After the surgery, the patient's condition was stable. Two days later, the patient coughed a lot and had a fever. The hospital ordered monitoring and treatment for sore throat.
By September 19, the patient's fever had subsided, and the family requested that Ms. K'H and her newborn baby be discharged and allowed to go home. On September 21, Ms. K'H was transferred to Lam Dong General Hospital in a state of difficulty breathing and blood pressure that was difficult to measure. After a while, the patient became comatose, had a distended abdomen, and a purple, tense incision in the middle of her abdomen.
Lam Dong General Hospital held a hospital-wide consultation to perform emergency surgery. After surgery, the patient was monitored in the Intensive Care and Poison Control Department in a state of poor response to treatment. By September 26, the patient was in a deep coma.
After the hospital explained, the family asked to take the patient home. On September 26, Ms. K'Hien died. The patient was a medical worker with a history of hypothyroidism.
Ho Chi Minh City: Number of measles, dengue fever and hand, foot and mouth disease cases still increasing
Ho Chi Minh City Center for Disease Control (HCDC) updates the infectious disease situation in the area, as of week 40 of 2024.
Accordingly, from September 30 to October 6, 2024 (week 40), Ho Chi Minh City recorded 437 cases of hand, foot and mouth disease, an increase of 23.4% compared to the average of the previous 4 weeks.
The total number of hand, foot and mouth disease cases accumulated from the beginning of 2024 to week 39 is 12,733 cases. Districts with more than 100,000 people infected include Binh Chanh, Nha Be and District 8.
In week 40, the city also recorded 411 cases of dengue fever, an increase of 19.3% compared to the average of the previous 4 weeks. The total number of dengue fever cases accumulated from the beginning of 2024 to week 40 is 8,198 cases. Districts with a high number of cases per 100,000 people include: District 1, Thu Duc City and District 7.
Notably, in week 40, Ho Chi Minh City recorded 141 measles cases, an increase of 60.2% compared to the average of the previous 4 weeks. The total number of measles cases accumulated from the beginning of 2024 to week 40 is 967 cases.
Localities with high numbers of cases include Thu Duc City, Cu Chi District, Binh Chanh, Can Gio, Nha Be Districts and Binh Tan, Tan Phu, Tan Binh, Binh Thanh Districts, Districts 1, 4, 12 and Phu Nhuan District.
The number of measles cases is increasing in the context that more than 97% of children aged 1 to 10 in Ho Chi Minh City have been vaccinated against the disease. However, many districts have not yet reached the 95% vaccination rate.
As of October 7, the total number of measles vaccinations in the city was 213,840. Of which, children aged 1-5 years old received 44,525 doses (96.95%), and children aged 6-10 years old received 145,776 doses (97.99%). The measles vaccination campaign achieved 98% of the plan.
Currently, there are 6 districts with measles vaccination rates below 95%, including Binh Tan, District 10, Go Vap, Tan Phu, District 3 and Can Gio.
The Department of Health recommends that the People's Committees of these districts need to speed up the progress to achieve the campaign's goals in the district; for districts that have achieved a rate of 95% or more, it is necessary to maintain updates on the situation of mobile children, to avoid missing unvaccinated children in the area.
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