METHOD FOR EVALUATING A PATIENT'S TRANSPORTABILITY IN A CRITICAL CONDITION

摘要

FIELD: medicine.;SUBSTANCE: invention refers to medicine and can be used to address patient's readiness for transportation in critical condition. Patient's condition is scored to make a decision on transportability. Indices of the central nervous system are determined: the Glasgow coma scale (GCS, points) is evaluated. Indicators of the circulatory system are determined: average dynamic pressure (ADP, mmHg), HR, infusion-transfusion therapy, rate of diuresis (ml/kg/min) are evaluated. Respiratory system values are determined: RR (in min), oxygen fraction on inhalation (F_iO₂, %), peripheral saturation of oxygen (S_pO₂, %), oxygen blood capacity. Blood system parameters are determined: Li-White coagulation time (min), hematocrit (Ht,%), Hb/Ht ratio, thrombocyte level (10⁶/l). Temperature gradient (°C) as difference between central and peripheral temperature. Further, the values are scored in accordance with Table 2. Obtained points are summed up. If the sum of the points is equal to 0, then it indicates the compensated state of the patient, 2.75–5 points for the subcompensated state, 5.25 points – for the decompensated state. Transportation should be carried out in patient's compensated state. In a subcompensated condition, transportation should be carried out with continued full monitoring and intensive care. In case of decompensated condition, transportation should be postponed, intensive monitoring and intensive therapy in accordance with the diagnosis should be continued, and transportation performed one day after transition of decompensation state to subcompensation state.;EFFECT: method enables assessing the patient's transportability in a critical condition by evaluating a complex of the most significant indicators.;1 cl, 2 tbl, 3 ex