METHOD FOR ASSESSING THE SEVERITY OF INJURIES IN ROAD TRAFFIC ACCIDENTS IN THE PRE-HOSPITAL PERIOD, AT THE STAGE OF THE ADMISSION-DIAGNOSTIC DEPARTMENT OF THE HOSPITAL PERIOD

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine and can be used for assessing the severity of injuries in road accidents in the pre-hospital period at the stage of the admission-diagnostic department of the hospital period. Clinical and instrumental indices of the three systems are evaluated. CNS is the Glasgow scale. Cardiovascular system – color of skin, skin moisture content, heart rate (HR), arterial pressure, central venous pressure, shock index. Respiratory system – frequency of respiratory movements (FRM), blood saturation, fraction of oxygen in the inhaled mixture. Additionally, mean arterial pressure, ECG changes: supraventricular and ventricular extrasystole, presence of signs of myocardial ischemia, manifested by depression of ST segment and appearance of negative T wave, and partial pressure of carbon dioxide in exhaled air (PetCO2). Each indicator is assigned a score. Then points are summed up. If the total score is 0–6, no traumatic shock is stated. Centralization shock corresponds to 7–19 points. Decentralization shock is more than 19 points.;EFFECT: method makes it possible to quickly and easily assess the severity of compensatory capabilities of the body in injuries of various severity, which facilitates rapid sorting of affected groups, enables rapid analysis, accurate assessment of parameters, largely facilitates selection of adequate treatment approach to injured patients, as well as reducing the number of complications and mortality by evaluating complex of most significant indicators.;1 cl, 1 tbl, 3 ex