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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. Kasimov
442 Military Clinical Hospital
Russian Federation

Rustam R. Kasimov

 St. Petersburg 



A. I. Makhnovsky
St. Petersburg Research Institute of Emergency Care named after I. I. Dzhanelidze; North-Western State Medical University named after I. I. Mechnikov; Institute of Experimental Medicine
Russian Federation

Andrey I. Makhnovsky

St. Petersburg



I. M. Samokhvalov
Kirov Military Medical Academy, St. Petersburg, Russia 3 St. Petersburg Research Institute of Emergency Care named after I. I. Dzhanelidze
Russian Federation

Igor M. Samokhvalov

St. Petersburg



A. A. Zavrazhnov
Kirov Military Medical Academy
Russian Federation

 Anatoly A. Zavrazhnov 

 St. Petersburg



L. A. Khugaev
Kirov Military Medical Academy
Russian Federation

Leonard A. Khugaev

St. Petersburg



S. A. Kovalenko
442 Military Clinical Hospital
Russian Federation

 Sergey A. Kovalenko 

 St. Petersburg



I. E. Komarov
442 Military Clinical Hospital
Russian Federation

 Ivan E. Komarov 

 St. Petersburg



A. D. Gladyshev
442 Military Clinical Hospital
Russian Federation

 Andrey D. Gladyshev 

 St. Petersburg



References

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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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ISSN 2072-6716 (Print)