Prevention of taumatic dsease complications at prehospital stage (experience of resuscitation-traumatologic team of first aid)

Protracted systemic disorders of homeostasis of traumatic disease may cause such severe and often lifeincompatible complications as acute respiratory and acute renal failure, sepsis, fat embolism. The effective way of their prevention is as early as possible rendering of qualified medical care to the injured. Under the Moscow First Aid Station there is a resuscitation-traumatologic CITO team. During 2,5 years the team rendered medical care to 1480 patients with severe multiorgan and concomitant injuries, 6,7% of patients had a severe degree of traumatic shock. Authors suggested the algorithms for diagnosis and prehospital management of severely injured. Use of those algorithms allowed to lower the rate of fat embolism and acute respiratory failure, to shorten the terms of assisted ventilation, duration of resuscitation and hospitalization. Twenty two patients (0,87%) with life incompatible injuries were lost.