Scale for assessing the transportability of wounded persons
https://doi.org/10.24884/2072-6716-2026-27-2-23-28
Abstract
Relevance. Criteria and scales for assessing the transportability of the wounded are necessary for organizing their timely evacuation to the stage of providing specialized, including high-tech, medical care.
The purpose of the study is to develop and test a scale for assessing the transportability of the wounded, which is applicable in the field conditions.
Materials and methods. Based on the RTS (Revised Trauma Score) scale, the NRTS (New Revised Trauma Score) scale has been developed with an expanded list of criteria for assessing the severity of the condition and transportability, which can be applied in field conditions. The NRTS scale was used to assess the transportability of 1,121 wounded, including 52.4% with moderate injuries (ISS<18), 27.3% with severe injuries (ISS 18–24), 16.7% with extremely severe injuries (ISS 25–42), and critical injuries (ISS>42) — 3,7%.
Research results. The transportable group included 85.2% of the wounded; the accuracy of the forecast in this group was 100%. The conditionally transportable group (high-risk evacuation) included 12.2% of the wounded; the accuracy of the forecast in this group was 94.9%. The non-transportable group included 2.6% of the wounded; the accuracy of the forecast in this group was 100%.
Conclusion. The NRTS scale can be recommended for assessing the transportability of the wounded in the field (in the conditions of military medical organizations of the second and third level).
About the Authors
R. R. KasimovRussian Federation
Rustam R. Kasimov
St. Petersburg
A. I. Makhnovsky
Russian Federation
Andrey I. Makhnovsky
St. Petersburg
I. M. Samokhvalov
Russian Federation
Igor M. Samokhvalov
St. Petersburg
A. A. Zavrazhnov
Russian Federation
Anatoly A. Zavrazhnov
St. Petersburg
L. A. Khugaev
Russian Federation
Leonard A. Khugaev
St. Petersburg
S. A. Kovalenko
Russian Federation
Sergey A. Kovalenko
St. Petersburg
I. E. Komarov
Russian Federation
Ivan E. Komarov
St. Petersburg
A. D. Gladyshev
Russian Federation
Andrey D. Gladyshev
St. Petersburg
References
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Review
For citations:
Kasimov R.R., Makhnovsky A.I., Samokhvalov I.M., Zavrazhnov A.A., Khugaev L.A., Kovalenko S.A., Komarov I.E., Gladyshev A.D. Scale for assessing the transportability of wounded persons. EMERGENCY MEDICAL CARE. 2026;27(2):23-28. (In Russ.) https://doi.org/10.24884/2072-6716-2026-27-2-23-28
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