case_images: PMC11749715_01
case_images: Abnormalities detected on the chest and abdominal computed tomography (CT) of the patient. (A) Posttraumatic chest computed tomography (CT) revealed a right-sided pneumothorax. (B) Grade III liver injury and Grade V splenic injury, accompanied by hemoperitoneum, were observed. CT = computed tomography.
case_images: medi-104-e41349-g001.jpg
case_images: PMC11749715_01_medi-104-e41349-g001.jpg
case_images: F1
case_images: The results revealed multiple bilateral rib fractures (right: 5th-8th ribs; left: 5th-10th ribs), right-sided pneumothorax, grade 3 liver injury, and hemoperitoneum associated with grade 5 splenic injury (Fig. 1).
case_images: A 3D-reconstructed acetabular fracture visualized by pelvic computed tomography (CT) imaging. CT = computed tomography.
case_images: medi-104-e41349-g002.jpg
case_images: PMC11749715_01_medi-104-e41349-g002.jpg
case_images: F2
case_images: Further diagnoses included left hip dislocation with an accompanying acetabular fracture, left distal femoral open fracture, right distal femoral fracture, bilateral patellar fractures, and right foot fracture (Fig. 2).
case_images: Changes in body temperature and heart rate during the initial 24 hours. *Midazolam discontinuation and dexmedetomidine administration. **Dexmedetomidine discontinuation. BT = body temperature, HR = heart rate.
case_images: medi-104-e41349-g003.jpg
case_images: PMC11749715_01_medi-104-e41349-g003.jpg
case_images: F3
case_images: Subsequently, the body temperature began to decrease steadily after this 12-hour period (Fig. 3). Despite the implementation of continuous warming therapy, the body temperature continued to decline, registering <34.0 C approximately 24 hours postadministration (Fig. 3).
case_images: Changes in body temperature and heart rate after dexmedetomidine discontinuation. *Five hours after dexmedetomidine discontinuation. BT = body temperature, HR = heart rate.
case_images: medi-104-e41349-g004.jpg
case_images: PMC11749715_01_medi-104-e41349-g004.jpg
case_images: F4
case_images: Following the discontinuation of dexmedetomidine, the patient's body temperature gradually returned to normal, reaching 36.8 C approximately 5 hours after discontinuation (Fig. 4).