FEATURES OF MEDICAL ASSISTANCE TO VICTIMS WITH COMBINED TRAUMAS CAUSED BY ROAD ACCIDENTS IN SAINT-PETERSBURG

Specialized medical care to victims of road accidents in St. Petersburg is delivered at 6 level I and 3 level II trauma centers. Annually, each of 6 level I trauma centers gives treatment to about 600 patients, each of 3 level II trauma centers - 10 times less, other hospitals - to about 300 patients. Mortality rate after severe mechanical trauma at the level I trauma centers is about 15%, at the level II trauma centers - about 20% and at other hospitals (not specialized in severe traumas) - 37%. The importance of improvement of the trauma centers financing, the need to deliver patients by mobile resuscitation teams, and other problems have been discussed. The article has shown that St. Petersburg has a better system of medical care of road accident victims than other regions of Russia. The main principles of this system are as follows: early delivery of patients to trauma centers; the need to respect the rules of the "golden hour"; performance of full resuscitation both at the pre-hospital (on the spot and during delivery) and the hospital stage of treatment; the need of examination and treatment of patients regardless of illness severity; opening of anti-shock surgical trauma centers at multi-specialty hospitals providing round-the-clock laboratory, radiation, and endoscopic studies; use of doctors of all specialties; early evaluation of types and severity of injuries according to developed algorithms by using non-invasive, minimally invasive and invasive methods.

combined trauma, road accidents, trauma centers