Aim. Analysis of prehospital care in patients with combined trauma with the identification of problems.Material and methods. The analysis emergency medical care to 1204 patients with combined trauma (CT) and the analysis of mortality was carried out. The I - study period (2014–2018) included 874 patients with CT. The II – study period (2019–2021) included 330 patients with CT. 70.4% of patients were men, the remaining 29.6% were women. The patients were mostly of young, the average age was 40.5±2.2 years.Results. The rate of delivery of severe patients with combined traumas special critical care team has improved by 80%. The introduction of the analgesia algorithm, taking into account the general condition of patients with combined and shockogenic trauma, improved the rate of analgesia by 2 times, the rate of delivery of patients to the hospital improved by 50%. The creation of simulation centers, conducting trainings, master classes to train emergency physicians in the skills and knowledge of providing care at the prehospital stage made it possible to improve the shock detection rate by 2 times. When providing assistance to patients with combined and shockogenic trauma, the rate of tracheal intubation improved by 2 times, the rate of peripheral vein catheterization and infusion therapy during transportation improved by 47%, the rate of immobilization of the limb by 28%. The indicator of immobilization of the cervical spine during transportation improved slightly, remaining at a low level.Conclusion. To date, there remains a need for continuous training workshops on care for patients with shock trauma, with an emphasis on the importance of pain relief, and the need for manipulations such as tracheal intubation, immobilization of a limb, immobilization of the cervical spine, and infusion therapy.
| Mualliflar | А.Л. Аляви, С.Р. Кенжаев, А. К. Койиров, Ulugbek Ganiev, Mustapha Obeid |
|---|---|
| Jurnal | Shoshilinch tibbiyot axborotnomasi |
| Nashr sanasi | 2023-01-01 |
| Jild | 16 |
| Son | 2 |
| Til | en |
| DOI | 10.54185/tbem/vol16_iss2/a5 |
DOI: 10.54185/tbem/vol16_iss2/a5 · Maqolaning asl sahifasi
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