STANDARD CLINICAL ASSESSMENT OF INJURY SEVERITY DUE TO THE TRAFFIC ACCIDENTS AT THE PREHOSPITAL AND EARLY HOSPITAL STAGES OF MEDICAL CARE IN CONDITIONS OF A ROADSIDE HOSPITAL
The article provides data analyzing 316 cases affected with multiple trauma owing to traffic accidents at the pre-hospital and early hospital stages treated in conditions of a roadside hospital. It is found that the persons injured in the road traffic accidents commonly suffer from a component of polysystemic injury while the most often associated components are the cranial and thoracic component (51.9 %), the abdominal component (3.16 %) and the skeletal one (44.9 %). The most severe injuries are typical within the cranial and thoracic components and the share of severe and extremely severe cases is assigned to more than 45 according to the Injury Severity Score (ISS). The casualties with cranial thoracic skeletal injury make 25-50 %, cranial abdominal skeletal injuries make 33 %, the share of cranial thoracic abdominal injury makes 42 %, and that of thoracic and skeletal injury totals 50 %. Considering the above mentioned, cranial and thoracic components of injury, determined by its severity, can be stated as the most life threatening both at the pre-hospital and early hospital stages. To improve the results of treatment the patients with polysystemic injuries owing to traffic accidents at the pre-hospital and early hospital stages in conditions of a roadside hospital it is necessary to use up-to-date treatment technologies as well as the unified treatment protocol schemes and clinical decision-making records