Пример клинического случая оказания экстренной медицинской помощи больному с тяжелой сочетанной травмой

Abstract

Abstract. We consider a case of providing emergency medical care to a patient with a concomitant injury as a result of a traffic accident. Purpose of the research: to consider a clinical case report of effective emergency medical care to a victim with severe concomitant injury. We describe main aspects of diagnosing this kind of patients, the difficulties of providing care to patients with concomitant injury and the treatment results. Materials and methods. This research uses materials from the medical documentation of the trauma department of Archbishop Luke Tambov City Clinical Hospital. Results. Effective treatment of such injuries and a favorable outcome, as a rule, is possible only in a multidisciplinary medical institution, since it is in this type of medical organizations it is possible to obtain all the necessary instrumental and laboratory diagnostics of the injuries, there are also many specialists in various fields, which allows to competently organize the correct surgical tactics, develop a treatment plan, prescribe all the necessary infusion therapy to eliminate the resulting hypovolemia, and in the event of shock – anti-shock therapy to eliminate the patient’s unstable hemodynamics as quickly as possible, in case of development or progression of respiratory failure – establish respiratory support with the possibility of transferring the patient to artificial lung ventilation, in the case of prolonged artificial lung ventilation – a tracheostomy, and of course, adequate pain relief for the pain syndrome that accompanies absolutely every case of concomitant injury. All this together is aimed at stabilizing the patient’s condition, preventing possible complications, and if they occur, their timely identification and elimination, carrying out further rehabilitation to return the patient to a full life. Conclusions: the annual increase in the number of road accidents and the development of severe injuries in connection with this requires the further development of various types of diagnostics, indicates the need to ensure the availability of CT examinations, MRI machines, the development of traumatology, surgery and neurosurgery, which ultimately will favorably contribute to timely diagnosis and effective treatment of life-threatening conditions that occur in victims of road traffic accidents.