Digital solutions in the choice of surgical tactics in victims with severe trauma (injury)

Optimal conditions and the best results of treatment of victims (including military personnel) with polytrauma are achieved in level I trauma centers. The key factor in the success of treatment is the possibility of prompt medical evacuation of victims, even in an extremely serious condition, from trauma centers of levels III-II to central and district clinical hospitals, which are analogs of level I trauma centers. The area of medical responsibility of the chief medical specialists of the Western Military District includes 26 constituent entities of the Russian Federation, and the victims are primarily delivered to the medical organizations of the Ministry of Health. In this regard, the process of making managerial decisions to determine surgical tactics and carry out a medical evacuation of victims to trauma centers of military medical organizations of a higher level is complicated and time - consuming. The analysis of treatment and medical evacuation of 258 victims with severe trauma accompanied by shock and (or) coma in the Western Military District in 2015-2020, including 131 (89.9%) - with polytrauma (ISSі18). Medical evacuation was carried out in 232 cases (89.9%). Digital software solutions have been developed to optimize, accelerate the collection and transmission of objective information about the severity of the injury and the transportability of victims.

polytrauma, surgical aid to victims, trauma center, trauma register, electronic calculator, medical evacuation, ambulance