Organization of provision of specialized medical care for polytrauma in multidisciplinary hospital
https://doi.org/10.33667/2078-5631-2021-25-34-41
Abstract
Technical progress facilitates to a significant increase in injuries and the severity of traumatic injuries. When providing treatment for patients with polytrauma in a multidisciplinary hospital the leading place is taken by the organization of the work of the hospital’s medical personnel, the development and implementation of standards for the guidelines specialized medical care to victims. The main priority of surgical intervention in polytrauma is to bleeding control, and staged treatment with final surgical correction after stabilization of the victim’s condition in 24–36 hours after the injury. An important role is played by standardized transfusion therapy for preventing the development of the lethal triad. Practice shows that a multidisciplinary approach is the cornerstone of providing specialized medical care for patients with polytrauma.
About the Authors
A. V. Shabunin
Botkin Hospital; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Shabunin Alexey V., DM Sci, professor, corresponding member of RAS, chief physician; head of Dept of Surgery
Moscow
E. P. Rodionov
Botkin Hospital; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Rodionov Evgeny P., PhD Med, associate professor at Dept of Anesthesiology and Emergency Medicine; deputy chief physician (Anesthesiology and Resuscitation)
Moscow
D. N. Grekov
Botkin Hospital; Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Grekov Dmitry N., PhD Med, associate professor at Dept of Surgery; deputy chief physician (Oncology)
Moscow
A. A. Malyshev
Botkin Hospital
Russian Federation
Russian Federation
Malyshev Anatoly A., PhD Med, head of Dept of Anesthesiology and Resuscitation No. 62
Moscow
E. A. Evdokimov
Russian Medical Academy for Continuing Professional Education
Russian Federation
Russian Federation
Evdokimov Evgeny A., DM Sci, professor, head of Dept of Anesthesiology and Emergency Medicine
Moscow
References
1. Agadzhanyan V. V., Pronskikh A. A., Ustyantseva I. M. and others (under the editorship of Agadzhanyan V. V.). Polytrauma. Novosibirsk: Nauka, 2003. 492 p.
2. American College of Surgeons. ATLS – Advanced Trauma Life Support – Student Course Manual (10th edition). 2018.
3. Baker S. P., O’Neill B. The injury severity score: an update. J Trauma. 1976 Nov; 16 (11): 882–5.
4. Baker S. P., O’Neill B., Haddon W. Jr., Long W. B. The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. J Trauma. 1974 Mar; 14 (3): 187–96.
5. Brenner M. L., Moore L. J., et al. A clinical series of resuscitative endovascular balloon occlusion of the aorta for hemorrhage control and resuscitation. J Trauma Acute Care Surg. 2013 Sep; 75 (3): 506–11.
6. Chesser T. J.S., Cross A. M., Ward A. J. The use of pelvic binders in the emergent management of potential pelvic trauma. Injury. 2012 Jun; 43 (6): 667–9.
7. Duchesne J., Inaba K., Khan M. A. (Eds.) Damage Control in Trauma Care. Springer. 2018. 287.
8. Gennarelli T. A., Wodzin E. AIS 2005: a contemporary injury scale. Injury. 2006; 37: 1083–1091.
9. Giannoudi M., Harwood P., Damage control resuscitation: lessons learned. Eur J Trauma Emerg Surg. 2016 Jun; 42 (3): 273–82.
10. Gunst M., Ghaemmaghami V., Gruszecki A., et al. Changing epidemiology of trauma deaths leads to a bimodal distribution. Proc (Bayl Univ Med Cent). 2010 Oct; 23 (4): 349–54.
11. Nunez T. C., Voskrensensky I. V., Dossett L. A., et al. Early Prediction of Massive Transfusion in Trauma: Simple as ABC (Assessment of Blood Consumption)? J Trauma. 2009 Feb; 66 (2): 346–52.
12. Pape H., Peitzman A. B., Schwab C. W., Giannoudis P. V. (Eds.). Damage Control Management in the Polytrauma Patient. Springer 2010. 463.
13. Rotondo M. F., Schwab C. W., McGonigal M.D., et al. ‘Damage control’: An approach for improved survival in exsanguinating penetrating abdominal injury. J. Trauma. 1993 Sep; 35 (3): 375–82.
14. Taeger G., Ruchholtz S., Waydhas C., et al. Damage Control Orthopedics in Patients with Multiple Injuries Is Effective, Time Saving, and Safe. J Trauma. 2005 Aug; 59 (2): 409–16.
15. World Health Organization. Report 2017.
16. Zipfel B., Chiesa R., et al. Endovascular repair of traumatic thoracic aortic injury: final results from the relay endovascular registry for thoracic disease. Ann Thorac Surg. 2014 Mar; 97 (3): 774–80.
Review
For citations:
Shabunin A.V., Rodionov E.P., Grekov D.N., Malyshev A.A., Evdokimov E.A. Organization of provision of specialized medical care for polytrauma in multidisciplinary hospital. Medical alphabet. 2021;(25):34-41. (In Russ.) https://doi.org/10.33667/2078-5631-2021-25-34-41
Views:
300
Email this article 