Case mortality evaluation, medical errors and sequelae in multisystem and concomitant injuries, treatment
1250 cases of polytrauma have been analysed concerning mortality, medical errors and sequelae. Mortality rate was 25,4%. Treatment process in 220 cases of multisystem and concomitant injuries of patients deceased in hospital was evaluated. Mean age at death - 43,5 years. 45% of victims have been injured in condition of intoxication. In the acute period of traumatic disease, 52,3% of the victims died from decompensated shock, fat embolism, compression and dislocation of the brain structures. In the early period, death of 37,7% of patients was caused by progressive circulatory hypoxia or hematic origin. In the delayed period 10% of the victims died due to pyoinflammatory complications and multiple organ failure. Diacritic mistakes were mostly associated with an incomplete diagnosis (40,4%). Tactical errors and mistakes were associated with the lack of pace, quality and amount of infusion-transfusion therapy (30,9%).