«DAMAGE CONTROL» – CHOICE TECHNOLOGY FOR REDUCTION OF MORTALITY AND COMPLICATIONS AFTER MILITARY SURGICAL TRAUMA
Journal Title: Праці Наукового товариства ім. Шевченка - Year 2017, Vol 50, Issue 1
Abstract
Aim. Analyze the results of the treatment and the passing of traumatic desease in the injured patients, as a result of military clashes. And to substantiate to use of stage therapy in a modern military surgical trauma. Material and methods. The results of the analysis of treatment injured and wounded patients in a military confl ict in the East of Ukraine. Results and discussion. Surgical tactics in three stages - «damage control» is used in 12 wounded patients. In 4 patients, the abdominal cavity was re-opened to control hemostasis in 30-60 minutes. Since their condition was stable, they corrected the damage and completed the operation. In 8 other patients, relaparotomy was performed after 24 hours. 1 wounded died of heavy combined damage and refractory shock. Conclusions. The technology of damage control is a method of choice for wounded and injured with profuse bleeding, in a state of traumatic shock and with violations of vital functions of the body. Addition to the «damage control» technology to urgent measures at the basic level of provision of medical care (tactical medicine), the implementation of the surgical interventions and intensive care according to the severity of the injury and the level of medical care and the timely evacuation of the military medical centers creates a consistent system of emergency care and is a guarantee of reduction mortality and complications during a military surgical trauma.
Authors and Affiliations
Іgor Trutyak, Ivan Hayda, Grygoriy Prochorenko, Arkadiy Selmensky, Nazar Kalynovych
Keywords
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- EP ID EP322479
- DOI 10.25040/ntsh2017.02.055
- Views 81
- Downloads 0
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