Novosti
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This journal is indexed in Scopus |
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Year 2016 Vol. 24 No 2
TRAUMATOLOGY & ORTHOPEDICS
N.V. GOVOROVA1, V.V. GOVOROV 2, M.V. GOVOROV 3, M.V. MURASOV 2
TEMPORARY PELVIC IMMOBILIZATION IN PROVIDING ASSISTANCE TO VICTIMS WITH A HIGH-ENERGY COMBINED TRAUMA DURING TRANSPORT
SBEE HPE "Omsk State Medical University"1,
BME "Omsk City Clinical Hospital ¹1 named after A.N. Kabanov"2,
NME "Road Clinical Hospital named after N.A. Semashko", station Lublino, JSC "Russian Railways"3
The Russian Federation
Objectives. To evaluate the device effectiveness as a temporary immobilization of transporting patients with combined trauma and pelvic fracture (type B and C).
Methods. The patients (n=26) who underwent traffic accident or fell from a height with damages of two or more of the anatomic and functional areas, including pelvic fracture (type B and C) have been analysed. For emergency primary immobilization the authors proposed "Device for temporary immobilizing and transporting of the accident victim" (RF patent utility model N 114849). The comparative study "case-control" of two groups of patients was conducted for effectiveness evaluation of using this "Device". The patients (n=15) underwent to application of "Device" at the early hospital stage were included in the 1st group, the second group (n=11) patients who was provided by traditional assistance without using the immobilization belt.
Results. Both groups were comparable regarding the degree of lesion and shock severity. The traumatic shock of degree II–III of severity against the backdrop of the damage of three or more anatomical and functional areas was diagnosed in 84,6% of patients. It was established that belt application at the in-hospital stage of transport reliably reduced the absolute risk of hemodynamic disturbances. In group 1 at the intensive care unit stage the period of unstable hemodynamics and circulatory disorders decreased and hemoglobin loss reduced. There were no differences in the amount of ongoing infusion-transfusion therapy and hospital length.
Conclusion. Relative temporary non-invasive stabilization of the pelvic ring is achieved at the stage of diagnosis and transport with application of «Device». At the same time strengthening of "biological intrapelvic tamponade" effect occurs as well as the reduction of internal bleeding rate. The "Device" use for temporary immobilization and transport can be recommended as an aid element for patients with a high-energy combined trauma at the prehospital and early hospital stage.
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644099, Russian Federation,
Omsk, ul. Lenina, d. 12,
GBOU VPO "Omskiy gosudarstvennyiy
meditsinskiy universitet",
kafedra anesteziologii i reanimatologii,
tel. mob.: 8 913 977-85-33,
e-mail: nataly12@yandex.ru,
Govorova Natalya Valerevna
Govorova N.V. MD, professor, a head of the anesthesiology and intensive care chair of SBEE HPE "Omsk State Medical University".
Govorov V.V. A head of the traumatology and orthopedics department of "Omsk City Clinical Hospital ¹1 named after A.N. Kabanov".
Govorov M.V. A tramatologist-orthopedist of NME "Road Clinical Hospital named after N.A. Semashko", station Lublino, JSC "Russian Railways".
Murasov M.V. An anesthesiologist of the intensive care unit of "Omsk City Clinical Hospital ¹1 named after A.N. Kabanov".
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