Primary-Simultane Operation Pri Politrauma
Volume 3 - Issue 3
Shaposhnikov Veniamin Ivanovich*
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- Noncommercial educational private institution of higher education Kuban Medical Institute Head. Chair of morphologic disciplines.
Professor of surgical diseases, Vice Rector, Krasnodar, Russia
*Corresponding author:
Shaposhnikov Veniamin Ivanovich, Noncommercial educational private institution of higher education
Kuban Medical Institute Head. Chair of morphologic disciplines. Professor of surgical diseases, Vice Rector, Krasnodar, Russia
Received:September 04, 2019 Published: September 10, 2019
DOI: 10.32474/SCSOAJ.2019.03.000163
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Abstract
The author examines the current problems of modern medicine associated with the growth of injuries. In recent decades, not only
has the number of injuries increased, but so does the severity of the damage. There were many problems, both in the organization
of treatment of victims, and in the methods of surgical correction of injuries, especially if they are combined - multiple, and at the
same time injured up to a dozen or even more persons. This is most often the case in road traffic accidents, and they sometimes
occur on sections of highways, away from the regional and regional centers, where the main medical staff are concentrated, and in
rural areas, where hospitals operate with very limited medical staff. For example, the staffing of the CRB usually provides surgical
and trauma departments for 40-60 beds, that is, assistance is planned. or a surgeon, or a traumatologists, but often come persons
with trauma of those organs and systems that are to be treated by a neurosurgeon, angiosurgeon and other specialists. The difficulty
lies not only in the absence of them, but also in the tools for such operations. One doctor of the CRB receives a load, which in the
regional center is allowed 5-10 or more specialists of surgical profile. In this situation, doctors of rural hospitals should have the
technique to perform surgery in any form of trauma, but for this they must pass the school of training in leading surgical centers,
and now they are mostly former students who know everything, but nothing they know how to do it. Admittedly, the increase in
fatalities from injuries is partly due to this factor. The author gives an instructive observation of polytrauma, which fits into the
context of the problem at hand.
Keywords: Polytrauma; Surgical treatment; Treatment
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