[A methodology for the objective assessment of trauma severity (III. The assessment of the severity of the state of wounded and injured patients)].
The article describes original scales for the estimation of the severity of state of patients with wounds and traumas. The scale I has been developed for using at the first level of the objective estimation of severity of the wounded's state during the medical sorting. It allows the sorting to be performed very exactly and has advantages over the analogues known in the literature. At the second level the scale II is used which is meant for the estimation of the severity of the wounded's state on admission to the hospital, while at the third level the scale III is used in the dynamics of treatment. These scales are necessary due to different qualitative and quantitative signs used during making the diagnosis and different values of the diagnostic signs for establishing the probability of lethal outcomes and complications on admission to the hospital and a day after performing a complex of resuscitation measures and intensive therapy. A distinctive feature of these scales is their polycriterial character, i.e. each code of the severity is calculated according to two criteria: probability of the development of lethal outcome and complications of the injury. The scales are based on simple symptoms and can be used under the military field conditions and in extreme situations.
Gumanenko
E K
EK
Boiarintsev
V V
VV
Suprun
T Iu
TIu
D006801:Humans; D008889:Military Personnel; D012426:Russia; D015599:Trauma Severity Indices; D014218:Triage / Q000145:classification / Q000379:methods; D014947:Wounds and Injuries / Q000145:classification* / Q000175:diagnosis