RESUMO
The number of road accidents, fatal outcomes and victims exceeded in 1.5 times in Saint-Petersburg in comparison with Moscow. At the average, 600 victims were treated in each of 6 first-level traumatology centers every year. The quantity of patients, who were admitted to 3 second-level traumatology centers, numbered 10 times less. About 300 people entered to others hospitals. The lethality consisted of 15%, 20% and 37%, respectively. There are a lot of matters, that should be discussed, such as an importance of better treatment financing of multitrauma by using compulsory medical insurance system, an optimization of pre-admission treatment and a necessity of patient delivery by mobile medical team using the anaesthesiology and resuscitation.
Assuntos
Acidentes de Trânsito , Cuidados de Suporte Avançado de Vida no Trauma , Ferimentos e Lesões , Acidentes de Trânsito/mortalidade , Acidentes de Trânsito/estatística & dados numéricos , Cuidados de Suporte Avançado de Vida no Trauma/métodos , Cuidados de Suporte Avançado de Vida no Trauma/organização & administração , Humanos , Avaliação das Necessidades , Federação Russa/epidemiologia , Centros de Traumatologia/estatística & dados numéricos , Índices de Gravidade do Trauma , Traumatologia/métodos , Traumatologia/organização & administração , Ferimentos e Lesões/epidemiologia , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/fisiopatologia , Ferimentos e Lesões/terapiaRESUMO
On the basis of study and treatment of 98 victims it was stated that the absorption of isotonic glucose electrolytes solutions in the small intestine was saved even increased in case of large hemorrhage in severe polytrauma with chest, abdominal injury and other regions trauma. An application of early enteral infusions allowed reducing of the volume of parenteral introduction solutions and facilitated to a reliable decrease of development frequency of nosocomial pneumonia of attributive lethality.
Assuntos
Endoscopia Gastrointestinal/métodos , Infusões Parenterais , Soluções Isotônicas/farmacologia , Traumatismo Múltiplo , Traumatismos Torácicos , Adulto , Terapia Combinada/métodos , Contraindicações , Intervenção Médica Precoce/métodos , Intervenção Médica Precoce/estatística & dados numéricos , Feminino , Humanos , Infusões Parenterais/métodos , Infusões Parenterais/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Traumatismo Múltiplo/diagnóstico , Traumatismo Múltiplo/fisiopatologia , Traumatismo Múltiplo/terapia , Cuidados Pré-Operatórios/métodos , Cuidados Pré-Operatórios/estatística & dados numéricos , Prognóstico , Traumatismos Torácicos/diagnóstico , Traumatismos Torácicos/fisiopatologia , Traumatismos Torácicos/terapia , Índices de Gravidade do Trauma , Resultado do TratamentoRESUMO
The authors gave comparative characteristics of the data available in literature and the scales of evaluation of the severity and prognosis of wound dystrophy used by them.
Assuntos
Transtornos Traumáticos Cumulativos/diagnóstico , Progressão da Doença , Humanos , Prognóstico , Índices de Gravidade do TraumaRESUMO
The article describes organizational grounds of the system of organization of emergency care to victims of traffic accidents (TA) under conditions of a megapolis at the stages of evacuation. The principles of rendering emergency medical care in TA are considered in detail. The succession of actions at each stage is stressed. Organization of trauma centers is recommended which will be able to render specialized medical care to the victims. Special attention should be paid to the conception of trauma disease. Correct organization of rendering specialized medical care to TA victims substantially reduces lethality.
