FAT EMBOLISM SYNDROME AS THE MAIN CAUSE OF MORTALITY IN SEVERE POLYTRAUMA

Abstract The article presents the main causes of deaths of victims with severe multiple and combined injuries of limb bones. The main causes of mortality in the first hours after injury are shock and acute massive blood loss. At a later time, severe brain disorders and concomitant complications of a developing traumatic illness. Complications leading to fatal outcomes are multiple in nature. As a rule, this is a combination of fatty embolism, pneumonia with pulmonary edema, cerebral edema on the background of severe traumatic shock and post–traumatic anemia. At the same time, as the research data show, the main cause of deaths (up to 57%) is a severe form of fat embolism syndrome. The clinical manifestations of various forms of fat embolism syndrome are presented in detail. The main directions of prevention of this complication have been identified.