Mr. Biranchi Narayan Sahoo sustained serious injuries in a road accident on 19th July 2026 after being hit by a vehicle in Civil Township, Raurkela. He was initially taken to private hospital, where a CT scan of the brain revealed a serious collection of blood over the brain along with significant brain injury. He was subsequently referred to IGH in a critical condition.

On arrival at IGH, the patient was immediately placed on ventilator support and taken up for emergency brain surgery. The surgery was performed by Dr. Manoj Kumar Deo, Senior Consultant Neurosurgeon, with anaesthesia support from Dr. Sanjukta Panigrahi, Additional CMO, Anaesthesia. Nursing Officer Lipika provided crucial intraoperative assistance. Following surgery, the patient required prolonged intensive care and ventilator support. The ICU team, led by Sister Shiny George, along with the nursing and critical care staff, provided continuous monitoring and care during the critical phase of his recovery.

Gradually, the patient’s condition started improving. He was successfully weaned from ventilator support and subsequently underwent a temporary tracheostomy to facilitate breathing during his recovery. With further improvement, he was shifted from the ICU to the ward. Over the following days, his level of consciousness steadily improved. He began following simple commands, interacting intermittently with his relatives and gradually accepting food orally. Once he was able to maintain adequate oral intake and breathe independently, the temporary tracheostomy was successfully removed.

The ward nursing team, including Gouri, Manaswini, Manisha, Nomita, Priyanka and other dedicated nursing staff, continued close monitoring, nursing care and support throughout his recovery. Intensive and individualised physiotherapy also played an important role in helping the patient regain strength and mobility following his prolonged critical illness. Physiotherapy care was provided by Mr. Premananda Swain and his team.

After 23 days of hospitalisation, Mr. Sahoo regained consciousness, was able to follow simple commands, take adequate food orally and walk with the support of one person. He is now planned for discharge in an improved condition.

The case highlights the importance of timely emergency intervention, advanced critical care, dedicated nursing and structured rehabilitation in the management of severe head injuries. The coordinated efforts of the Neurosurgery, Anaesthesia, ICU, Nursing and Physiotherapy teams at IGH contributed significantly to the patient’s recovery.

The successful outcome reflects the importance of multidisciplinary care in managing complex and life-threatening trauma cases at Ispat General Hospital, Rourkela.