MEDICAL CARE TO PATIENTS WITH COMBINED VERTEBRAL-AND-SPINE INJURY AT TRAUMATOLOGY CENTERS OF 1 LEVEL ON FEDERAL HIGHWAYS M5, M7

The aim of the work is the optimizing the organization of medical care to victims of accidents on federal roads M5 and M7. The priority direction in improving outcomes of treatment in patients with polytrauma is an organization of all the processes of diagnostics, resuscitation and surgical treatment based on the timeliness and appropriateness. A special feature of motor accidents in Russia is a long period of patients isolation affected due to geographical features, that in combination with low temperatures increases the proportion of irreversible losses. In UGKB № 21 for the last 5 years 1315 patients with polytrauma were treated. A retrospective study of clinical data showed that among them persons with injuries of the locomotor system amounted to 1,196 (91%), abdomen - 79 (6%), chest - 197 (15%), central and peripheral nervous system - ИЗО (86%). The victims with vertebral-spinal injury amounted to 96 (8%). Surgical treatment was performed after normalization of the patient general condition from 2 to 5 phases of medical care, poor results were obtained in 4 (1%) cases. The most effective form of medical care organization for vertebral-spinal cord injury is a two-stage system.