ABSTRACT
Experience of medical sorting of 434 injured persons with a gun-shot woundings of extremities in 2014-2015 yrs is adduced. The principles of organization and treatment for medical sorting of wounded persons were elaborated. Prognostic intrahospital, diagnostic and evacuation--transport sorting was introduced in wounded persons in the IV level hospital, concerning severity of traumatic shock and prognosis of their survival.
Subject(s)
Emergency Service, Hospital/organization & administration , Shock, Traumatic/diagnosis , Triage/organization & administration , Wounds, Gunshot/diagnosis , Extremities/injuries , Extremities/surgery , Humans , Prognosis , Shock, Traumatic/mortality , Shock, Traumatic/pathology , Shock, Traumatic/surgery , Survival Analysis , Trauma Severity Indices , Wounds, Gunshot/mortality , Wounds, Gunshot/pathology , Wounds, Gunshot/surgeryABSTRACT
Complex of the treatment measures, conducted in 302 wounded persons, suffering the gun-shot and mine-explosive injuries of the foot in 2014 - 2015 yrs, was analyzed. Primary surgical processing of the wound was conducted in all injured persons, secondary surgical processing--in 64.6%, the foot bones osteosynthesis--in 13.9%, primary immobilization, using improvised tire--in 77.8%, secondary immobilization, using the plaster splint--in 48.1%, llizarov's spokes--in 35.2%, Ilizarov's apparatus--in 18.5%, the rods apparatuses of external fixation--in 16.7%. For improvement of functioning of a modern system for the treatment-evacuation provision it is necessary, to reduce the quantity of levels of the medical help provision maximally.
