THE ROLE OF RESUSCITATION CONSULTANT CENTRE IN OPTIMIZATION OF TREATMENT OF SEVERE TRAUMA IN CHILDREN

Abstract

The purpose of the study was to evaluate clinical efficacy the joint participation of anesthesiologists and intensive care specialists with orthopedists in work of resuscitation-counseling center (RCC) to provide med- ical aid in severe trauma in children. Metods. Design - a prospective, controlled, nonrandomized study. In the investigation were included 216 children. The children were divided into two groups. The control group included 103 children who received treatment during the period from 2000 to 2005 without coun- seling traumatologists. The test group included 113 children from 2006 to 2010. This group was treated with the help of children’s orthopedists, counseling for emergency on-line RCC. Patients of both groups were matched for age, sex, and the nature of injuries. Results. The test group patients nobody no dead. When children were transferred to the specialized center the severity score decreased. Duration of stay chil- dren in district hospitals to transfer in center reduce with 7,6±2,1 to 3,9±1,0 day (p<0,001). Conclusion. The authors found that the joint work of traumatologists and anesthesiologists in the RCC improves the qual- ity of diagnostic, reduces the time to perform emergency surgery and allows for early transfer to a special- ized center for the provision of high-tech care for children with severe multisystem injury.