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Information × Registration Number 0215U002519, 0114U003013 , R & D reports Title Develop measures to optimize the victims with injuries of the musculoskeletal system in an road accident. popup.stage_title Head Gayko Georgy Vasilievich; Kalashnikov Andriy Valeriyvich, Registration Date 30-12-2015 Organization Ukrainian scientific-research institute for traumatology and orthopaedics popup.description2 It is proved that from the point of view of the organization of health care reform first aid can have the greatest effect (this confirms factor with the greatest degree of confidence p-level <1,51E-06) in patients with multiple injuries suffered in an accident. From the point of view of economic expediency of investing money in the reform of this particular level of care will give the greatest effect on a nested hryvnia. It was found that the proportion of patients with skeletal injuries among the total number of road accident victims that died was 60.6% (303 victims). Among them, 69.6% (211 persons) - men and 30.4% (92 persons, respectively) - women. The average age of the victims of 46.9 + 1.2 years. (N = 303). With one-way ANOVA demonstrated that the timing of survival for the group, where the cause of death was intracranial injury twice more than in the group where the cause of death of skeletal trauma: 9.7 vs. 5.6 days. This supports the increased attention to the role of orthopedic trauma in the initial stages of treatment of patients with associated trauma. It is confirmed that during an accident the most dangerous areas of the skeleton of injury to the lower extremities are and pelvis. Marked increase in the number of lesions of the pelvic bones at the persistently high frequency of damage hip and thigh. This is due to a change of vehicles - the growing number of crossovers and SUVs. Given the growing proportion of injuries of the skeleton in the overall death rate in road accidents, the recommendations for changes in the algorithms of therapeutic action in a unified clinical protocols of emergency medical aid "Spinal injury" and "Polytrauma" where you need to create an item on the assessment of the musculoskeletal system and pelvic ring separately after item in the assessment of severity of traumatic brain injury. The protocol "hypovolemic shock" when assessing blood loss into account hidden bcc loss that occurs as a result of fractures, for that per guided conventional numerals internal bleeding. In view of the figures obtained to conduct infusion therapy aimed at correcting the BCC. Product Description popup.authors Боєр Володимир Альфредович Вдовиченко Констянтин Віталійович Деркач Роман Володимирович Долгополов Олексій Вікторович Кварцяний Олександр Олександрович Літун Юрій Миколайович Мандрик Петро Тодорович Немирович-Булгакова Оксана Іванівна Непорожній Олександр Анатолійович Полішко Віра Павлівна Половинка Лідія Олексіївна Процишин Петро Фотійович Ставінський Юрій Олексійович Тимочук Віктор Васильович popup.nrat_date 2020-04-02 Close