IMMEDIATE IMPLEMENTATION OF PREHOSPITAL- AND HOSPITAL-INDUCED INTEGRATIVE EMERGENCY MEDICAL CARE IN A VICTIM WITH SHOCKOGENIC CATATRAUMA AS A KEY TO A SUCCESSFUL OUTCOME OF TREATMENT ; БЕЗОТЛАГАТЕЛЬНАЯ РЕАЛИЗАЦИЯ ДОГОСПИТАЛЬНОЙ И ГОСПИТАЛЬНОЙ АЛГОРИТМИРОВАННОЙ ИНТЕГРАТИВНОЙ ЭКСТРЕННОЙ МЕДИЦИНСКОЙ ПОМОЩИ У ПОСТРАДАВШЕЙ С ШОКОГЕННОЙ КАТАТРАВМОЙ КАК ЗАЛОГ УСПЕШНОГО ИСХОДА ЛЕЧЕНИЯ

Objective − implementation of prehospital- and hospital-induced integrative emergency medical care in a victim with shockogenic catatrauma for a successful outcome of treatment.Materials and methods. There was a patient A., female, 47 years old, who fell from the height of the second floor onto a fence in the form of spear-shaped iron rods and she stayed on it. For this reason, the victim was diagnosed with: “Catatrauma". Traumatic shock of moderate severity. A stab-lacerated wound of the left hip joint, penetrating into the abdominal and left pleural cavities. Left-sided hemopneumothorax". An anesthesiologist-resuscitator of emergency medical care carried out intensive therapy, which even at the pre-hospital stage removed the manifestations of shock. The patient was taken to the operating room of the hospital on duty, where, against the background of intensive care and after a surgical consultation, she underwent a three-stage surgical intervention under general anesthesia (removal of a fragment of a metal fence, laparotomy, thoracotomy) lasting 5 hours and 55 minutes. After the operation, the patient was treated in the intensive care unit for 9 days. During her stay in the intensive care unit, the patient's condition improved, as a result of which she was transferred to the specialized surgical department, where she stayed for 5 days. After 14 bed-days, the patient was discharged from the hospital in a satisfactory condition to go home for outpatient treatment.Results. The use of algorithmic integrative emergency medical care for the patient with a catatrauma complicated by shock contributed to her recession already at the prehospital stage. The implementation of this assistance at the hospital stage made it possible, using X-ray (with the objective impossibility of performing multislice computed tomography), to accurately identify existing injuries in the victim (penetrating wounds into the abdominal and left pleural cavities) and begin staged surgical treatment against the background of intensive care, ...