Analysis of pre-hospital care for patients with combined trauma

Abstract

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.