Closed traumatic skin detachment: development of a modern method for early diagnosis at the stage of emergency medical care

The aim of our study was to develop an express diagnosis of closed traumatic skin detachment at an early stage in patients after high-energy injuries at the stage of emergency medical care. Materials and methods . The results of treatment of 25 patients who were admitted to the Institute were analyzed. Dzhanelidze after high-energy injuries. Everyone underwent a study — laser Doppler flowmetry (LDF) on the first day after the injury. The perfusion index, measured with LDF, makes it possible to diagnose closed traumatic skin detachment with high accuracy. With perfusion indices (N) of the damaged area less than N of the symmetrical intact skin area or with N of the damaged area less than 4 p. units, a closed traumatic skin detachment is diagnosed. If the perfusion parameters correspond to the values in the symmetrical area or are higher/equal to the value of 4 percentage points, then the diagnosis is excluded. The diagnostic criteria for making this diagnosis were determined, which made it possible to propose an algorithm for diagnosing closed traumatic skin detachment. The application of the approaches developed by us to the diagnosis of closed traumatic skin detachment will improve the treatment results of this category of victims.