Abstract
In a prospective study of 18 trauma cases we found that the fat embolism syndrome developed in eight (according to biochemical evidence), although only three of these patients showed clinical symptoms. Biochemical signs of fat embolism include disturbances in the clotting factors; fat excretion; changes in fat metabolism, and hypoxemia. The presence of any of these signs should alert the surgeon to the possibility of fat embolism and we recommend routine screening of all severely traumatized patients by hematologic tests, lipids investigation, blood gas measurements, as well as roentgenographic examination. In a prospective study of 18 trauma cases we found that the fat embolism syndrome developed in eight (according to biochemical evidence), although only three of these patients showed clinical symptoms. Biochemical signs of fat embolism include disturbances in the clotting factors; fat excretion; changes in fat metabolism, and hypoxemia. The presence of any of these signs should alert the surgeon to the possibility of fat embolism and we recommend routine screening of all severely traumatized patients by hematologic tests, lipids investigation, blood gas measurements, as well as roentgenographic examination.
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