IMPROVING PROVIDE EMERGENCY MEDICAL ASSISTANCE TO VICTIMS WITH UNSTABLE FRACTURES OF THE PELVIS
https://doi.org/10.24884/2072-6716-2017-18-4-22-27
Abstract
Analysis of medical care that was administered to the injured with unstable pelvic ring fractures in the condition of theSaint Petersburgcity was done. The analysis of the effectiveness of anti-shock pelvic dressings in patients with unstable pelvic injuries and signs of unstable hemodynamic changes in the level of SBP over time. It has been found that the application of anti-shock pelvic bandage was no intermediate reduction in blood pressure, indicating a temporary halt intrapelvic bleeding and stabilize the hemodynamic parameters during time intervals sufficient to transport the victim to the nearest travmotsentr and implementation of appropriate diagnostic algorithm when pelvic injury. The necessity of using transport immobilization by fixing the unstable pelvic ring on the prehospital phase was based.
About the Authors
M. B. Borisov
S.M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Russian Federation
V. A. Manukovskiy
S.M. Kirov Military Medical Academy, St. Petersburg;
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg
Russian Federation
Russian Federation
I. V. Kazhanov
S.M. Kirov Military Medical Academy, St. Petersburg;
St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg
Russian Federation
Russian Federation
V. V. Denisenko
S.M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Russian Federation
A. R. Grebnev
S.M. Kirov Military Medical Academy, St. Petersburg
Russian Federation
Russian Federation
References
1. Самохвалов И. М., Ганин В. Н. Оказание хирургической помощи при боевой травме таза в вооруженных конфликтах // Сб. науч. тр. «Человек и его здоровье». СПб., 2012. С. 193–195. [Samohvalov I. M., Ganin V. N. Surgical care during combat trauma pelvis in armed conflict // Coll. scientific. tr. «Man and his health». St. Petersburg, 2012, рр. 193–195. (In Russ.)]
2. Соколов В. А. Множественные и сочетанные травмы. М.: ГЭОТАР-Медиа, 2006. 512 с. [Sokolov V. A. Mnozhestvennye i sochetannye travmy. Moscow: GEOTAR Media, 2006, 512 p. (In Russ.)]
3. Chen T. et al. Earthquake-related pelvic crush fracture vs. non-earthquake fracture on digital radiography and MDCT: a comparative study, Clinics, 2011, Vol. 66, No 4, рр. 629–634.
4. Анкин Л. Н., Пипия Г. Г., Анкин Н. Л. Лечение повреждений таза у пострадавших с изолированной и сочетанной травмой // Вестн. травматологии и ортопедии. 2007. № 3. С. 32–35. [Ankin L. N., Pypia G. G., Ankin N. L. Lechenie povrezhdeniy taza u postradavshich s isolirovannoy i sochetannoy travmoy. Vestnik traumatologii i ortopedii, 2007, No 3, рр. 32–35 (In Russ.)]
5. Гиршин С. Г. Клинические лекции по неотложной травматологии. СПб.: Азбука, 2004. 544 с. [Girshin S. G. Klinicheskye lekcii po netlozhnoy traumatologii. SPb.: Azbuka, 2004, 544 p. (In Russ.)]
6. Дятлов М. М. Неотложная и срочная помощь при тяжелых травмах таза: руководство для врачей. Гомель: ИММС НАН Беларуси, 2003. 296 с. [Dyatlov M. M. Neotlozhnaya i srochnaya pomosh pri tyazhelyh travmah taza: rukovodstvo dlya vrachey. Gomel: IMMS NAN Belarusi, 2003, 296 p. (In Russ.)]
7. Tile M., Helfet D. L., Kellam J. F., Vrahas M. Fractures of the pelvis and acetabulum-Principles and Methods of Management. 4th ed. Philadelphia etc.: Lippencott Williams–Wilkins, 2015, 1044 p.
8. Brotman S., Browner B. D., Cox E. F. MAST trousers improperly applied causing a compartment syndrome in lower extremity. J. Trauma, 1982, Vol. 22, No 7, рр. 598–599.
9. Bottlang M., Simpson T., Sigg J. et al. Noninvasive reduction of open–book pelvic fractures by circumferential compression. J. Orthop. Trauma, 2002, Vol. 16, No 6, рр. 367–373.
10. Денисенко В. В. Роль и место тактики многоэтапного хирургического лечения на этапах медицинской эвакуации: автореф. дис. … канд. мед. наук. СПб., 2010. 23 с. [Denisenko V. V. Rol i mesto mnogoetapnogo chirurgisheskogo lecheniya na etapah medicinskoy evakuacii: avtoref. dis. … kand. Med. nayk. St. Petersburg, 2010, 23 p. (In Russ.)]
11. Tan E. C., van Stigt S. F., van Vugt A. B. Effect of a new pelvic stabilizer (T-POD®) on reduction of pelvic volume and haemodynamic stability in unstable pelvic fractures. Injury, 2010, Vol. 41, No 12, рр. 1239–1243.
Review
For citations:
Borisov M.B., Manukovskiy V.A., Kazhanov I.V., Denisenko V.V., Grebnev A.R. IMPROVING PROVIDE EMERGENCY MEDICAL ASSISTANCE TO VICTIMS WITH UNSTABLE FRACTURES OF THE PELVIS. EMERGENCY MEDICAL CARE. 2017;18(4):22-27. (In Russ.) https://doi.org/10.24884/2072-6716-2017-18-4-22-27
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