title: [General issues of medical care in multiple trauma].
abstract: Experience in diagnosis and treatment of patients with combined trauma is presented. The clinicoanatomic classification of combined traumas with their division into 7 groups is proposed. The process of medical care is subdivided in 4 stages - prehospital, critical care, specialized clinical and rehabilitation. The number of patients and their qualitative characteristics at each stage are different. The majority of the lethal outcomes occur at prehospital and critical care stages. Improvement of medical care at the prehospital stage may be realized trough creation of diagnostic and treatment algorithms, at critical care stage - by adequate infusion-transfusion therapy and determination of surgical care priority. Prophylaxis and treatment of complications are very important at the second and third stages. At the rehabilitation stage 84,6% patients need treatment of locomotor lesions, 14.5% - damages of the brain, 0.5% - damages of the spinal cord. Traumas of the thorax and the abdomen don't require long rehabilitation.
authors.forename: A S
authors.initials: AS
authors.lastname: Ermolov
authors.forename: M M
authors.initials: MM
authors.lastname: Abakumov
authors.forename: V A
authors.initials: VA
authors.lastname: Sokolov
authors.forename: V I
authors.initials: VI
authors.lastname: Kartavenko
authors.forename: N M
authors.initials: NM
authors.lastname: Epifanova
mesh_terms: D000007:Abdominal Injuries / Q000534:rehabilitation / Q000628:therapy; D000058:Accidental Falls; D000063:Accidents, Traffic; D000328:Adult; D000465:Algorithms; D001803:Blood Transfusion; D001930:Brain Injuries / Q000534:rehabilitation / Q000628:therapy; D003415:Crime; D004636:Emergency Service, Hospital; D006801:Humans; D009031:Moscow; D009104:Multiple Trauma / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000401:mortality / Q000534:rehabilitation / Q000628:therapy*; D013119:Spinal Cord Injuries / Q000534:rehabilitation / Q000628:therapy; D013898:Thoracic Injuries / Q000534:rehabilitation / Q000628:therapy; D013997:Time Factors; D014057:Tomography, X-Ray Computed