Authors
Masljakov V.V.1, Barachevskij Ju.E.2, Pavlova O.N.3, Sidel’nikov S.A.1, Pimenova A.A.4, Polikarpov D.A.4, Bahaev A.D.4
1 Saratov State Medical University named after V.I. Razumovsky, Saratov
2 Northern State Medical University, Arkhangelsk
3 Samara State Medical University, Samara
4 Medical University «Reaviz», Saratov
Abstract
Target. Study the results of treatment of combined and multiple facial skull injuries resulting from road traffic accidents.
Materials and methods. The work included an analysis of 96 victims who received combined and multiple as a result of accidents received in the Saratov region from 2010 to 2020. Male victims dominated — 67 (69,8%) people, women — 29 (30,2%). The average age of patients was 29±5 years.
Results. The presented study shows that multiple and combined injuries in facial skull injuries resulting from road accidents are characterized by severe injuries. At the same time, the most severe injuries are found in damage to the head, abdomen and combined injuries to the facial skull, head, chest and abdomen.
Conclusions. 1. Combined and multiple injuries to the facial skull resulting from traffic accidents are characterized by a large number of complications — 44 (45,8%) cases and fatalities — 24 (25%).
2. In order to reduce complications and fatalities in such injuries, the Damage Control tactic, which was used in 20 (20,8%) observations, should be used.
Keywords: facial skull injuries, traffic accidents, lethality, complications.
References
1. Pjankova AI, Fattahov TA Mortality from traffic accidents in Russia: approaches to assessment, trends and prospects for observations. Demographic review. 2019; 6(3): 58–84. (In Russ).
2. Masljakov VV, Barachevskij JuE, Pavlova ON, et al. Organizational aspects of providing emergency medical care to victims of road accidents with facial skull injuries. Disaster Medicine. 2021; 2(114): 65-67. (In Russ).
3. Umarov OM. Peculiarities of combined trauma of maxillofacial region. Bulletin of Emergency Medicine. 2016; IX(1): 38-39. (In Russ).
4. Ahmedov MM, Musaev TS. Analysis of combined and multiple injuries in children after a traffic accident. Bulletin of Emergency Medicine. 2015; 2: 19-20. (In Russ).
5. Marchenko DV. Problems of providing first aid to victims of accidents: a modern aspect. Bulletin of the East Siberian Institute of the Ministry of Internal Affairs of Russia. 2009; 3(50): 113-118. (In Russ).
6. Gumanenko EK, Bojarincev VV, Suprun TJu, et al. Objective assessment of injury severity. SPb.: VMedA. 1999. 110 p. (In Russ).