Features of Medical Evacuation of Victims with Combined Trauma in a Megapolis

Summary. The purpose of the study is to develop a concept for the evacuation of victims with trauma requiring emergency surgery in a specialized medical institution in the metropolis. Materials and methods of research. Our study included 216 patients evacuated from emergency scenes and treated in Moscow hospitals with open craniocerebral injuries and/or internal bleeding. All patients were divided into two groups: group 1 included patients evacuated to hospitals using the developed algorithms for medical evacuation; group 2 included patients evacuated without using the specified algorithms. Results of the study and their analysis. The results of treatment of victims with combined trauma/internal bleeding were analyzed, the risks of fatal outcome in such victims were identified, the reasons that slow down the medical evacuation of these patients to the hospital were established, the results of treatment of these patients in hospitals were assessed. It was noted that the creation of algorithms for medical evacuation of such victims in the presence of indications for urgent surgery will allow timely initiation of measures to finally stop bleeding, improve treatment results and reduce mortality by 15%.