The special features of prehospital stage of medical care of patients with combined orthopedic trauma in countryside conditions
DOI:
https://doi.org/10.15587/2313-8416.2015.54630Keywords:
combined orthopedic trauma, emergency medical care, prehospital stage, agro-industrial regionAbstract
An emergency care is one of the most important links of the unite system of medical care rendering in our country. It is reliably known that exist the direct dependency between traumatic injuries clinical course and timely arrival of medical worker and generally duration of prehospital period.
Methods. There were retrospectively studied the special features of emergency medical care rendering at prehostital stage to 76 patients with combined orthopedic trauma in countryside conditions.
Results. There was established that the mean time between the receiving a call by operator and arrival of emergency to the patient in the countryside is (23,2±1,81) min, and the mean duration of prehospital stage is (74,45±4,13) min. The ratio of calls that exceeded an established time – 23,68 %.
The most patients were delivered in medical institution during the first hour. The state of patients dynamically worsened with an increase of prehospital period duration.
Conclusions. The distance to patient and unsatisfactory state of road carpet are the main causes of untimely arrival of emergency workers.
The criterion of emergency care effectiveness is not only the duration of prehospital stage but also an adequacy of the medically-diagnostic measures.
The shock injuries or its combinations need the prophylactic therapy despite the consciousness level and hemodynamic parameters of patient
References
Sokolov, V. A. (2006). Multiple traumas and polytraumas. Moscow: GEOTAR-Media, 512.
Søreide, K. (2009). Epidemiology of major trauma. British Journal of Surgery, 96 (7), 697–698. doi: 10.1002/bjs.6643
Agadzhanyan, V. V., Shatalin, A. V., Kravtsov, S. A. (2009). The basic principles of organization and tactics of medical transportations of the injured with polytrauma. ‘Vestnik travmatologii i ortopedii imeni N. N. Priorova’, 1, 7–12.
Cannon, C. M., Braxton, C. C., Kling-Smith, M., Mahnken, J. D., Carlton, E., Moncure, M. (2009). Utility of the Shock Index in Predicting Mortality in Traumatically Injured Patients. The Journal of Trauma: Injury, Infection, and Critical Care, 67 (6), 1426–1430. doi: 10.1097/ta.0b013e3181bbf728
Ocak, G., Sturms, L. M., Hoogeveen, J. M., Le Cessie, S., Jukema, G. N. (2008). Prehospital identification of major trauma patients. Langenbeck’s Archives of Surgery, 394 (2), 285–292. doi: 10.1007/s00423-008-0340-4
Alekseenko, V. E., Anishchuk, V. P., Zherebkin, V. V. (2009). The problems of providing medical care to the injured with multiple trauma and polytrauma at pre-hospital stage. The problems of military health protection. Kyiv, 117–122.
Garus, A. A., Markov, S. O., Ignatenko, Yu. G. (2010). Providing help at polytrauma and the ways of its improvement. Trauma, 11 (3), 243–245.
Hurev, S. E., Berezka, N. I., Shishchuk, V. D., Soloviev, A. S. (2010). Clinical and organizational principles, bases and criteria of providing medical care to the injured with traumatic injuries. Trauma, 2, 133–140.
Shishchuk, V. D. (2011). The algorithm of providing medical care in the case of traffic accident polytrauma in the rural area at early hospital stage. Orthopedics, traumatology and prosthetics, 4, 47–50.
Fil, A. Yu. (2014). Polytrauma of the body, the growth of the injured survival. Annals of traumatology and orthopedics, 1-2, 129–131.
Downloads
Published
Issue
Section
License
Copyright (c) 2015 Юрій Васильович Шкатула, Юрій Олексійович Бадіон
This work is licensed under a Creative Commons Attribution 4.0 International License.
Our journal abides by the Creative Commons CC BY copyright rights and permissions for open access journals.
Authors, who are published in this journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the journal under the terms of a Creative Commons CC BY, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form in which it has been published by the journal (for example, to upload the work to the online storage of the journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this journal is included.
