CLINICAL, EPIDEMIOLOGICAL, AND NOSOLOGICAL CHARACTERISTICS OF INJURED INDIVIDUALS WITH MASSIVE BLOOD LOSS

Severe mechanical trauma is one of the major medical and social issues in modern society, resulting in more than 5.8 million deaths worldwide each year. The leading potentially preventable cause of death in such cases is massive, uncontrolled blood loss. Objective: to study and analyze the clinical, epidemiological, and nosological characteristics of injuries, as well as age, sex, and peculiarities of traumagenesis, in order to enhance the effectiveness of emergency medical care for victims with traumatic blood loss, in accordance with the standards of evidence-based medicine. Results. The study found that trauma cases leading to massive blood loss occur more frequently in males (78.4% men vs. 21.6% women). The largest proportion of male victims are aged 21 to 30 years (21.8%). Most injuries resulted from domestic incidents (29.3%), road traffic accidents (21.2%), and criminal acts (19.2%). The most common injury types were stab wounds (40.1%) and direct blows (23.3%). In terms of injury localization, the upper limb was most commonly affected (21.9%), followed closely by the lower limb (21.6%). Individuals injured in hostilities predominantly sustained mine-blast injuries, often associated with multifactorial combined injuries. Conclusions: The clinical-epidemiological and nosological characteristics of victims with massive traumatic blood loss indicate distinct risk groups based on age, sex, type, and mechanism of injury. It has established that these clinical and epidemiological features significantly influence both the outcome of the traumatic process and the effectiveness of emergency medical care.