EXPRESS-SELECTION OF TACTICS OF PATIENT MANAGEMENT IN ACUTE PERIOD OF SERIOUS TRAUMA

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine of disasters, and can be used in emergency cases in case of serious isolated traumas, multiple injuries and combined trauma. For this purpose seriousness of trauma is estimated in accordance with injury severity scale by table No 9, represented in invention description. If in case of isolated trauma, combined trauma or multiple injuries the most severe injury is evaluated in 3 points, diagnostic measures are taken in full volume in order to detect possible hidden injuries, and specification of character of obvious injuries of anatomical areas. Also carried out is supporting infusion therapy and surgery is performed in case of emergency indications. If the most severe injury is evaluated in 4 or 5 points, intensive therapy is carried out, diagnostic measures are taken in minimal volume with further carrying out of surgery by vital indications. After surgery and relative state stabilisation diagnostic procedures are performed in full volume, and in case, if hidden injuries, requiring surgical correction by emergency indications, are detected, surgery is carried out.;EFFECT: method allows to ensure the most accurate estimation of injuries and in accordance with it to determine optimal tactics of patient's treatment in the first hours after trauma.;9 tbl, 2 ex