Single article

Diomidova V.N., Abyzov I.N., Anyurov S.A., Razbirina E.A., Fedorova N.V.

Effectiveness of Emergency Ultrasound Diagnostics in Providing Emergency Medical Care for Injuries

Keywords: emergency ultrasound examination, multiple trauma, ambulance

The purpose of the study is to study the diagnostic effectiveness of emergency ultra-sound diagnostics in providing emergency medical care to casualties with multiple injuries. The results of emergency ultrasound examinations of 129 people were retrospectively analyzed; the casualties were admitted with multiple injuries to the emergency department of the Budget Institution "Emergency Medical Care Hospital" of Public Health Ministry of Chuvashia, where the first group (N1; n = 44) included patients who underwent ultrasound for urgent indications in 2017, the second (N2; n = 58) – in 2018, the third N3 (n = 28) – in 2019. There were 89 men (68.9%) and 40 women (31.01%). The age range of patients was from 18 to 80 years (the average age was 43.9±6.7 years). All patients underwent an ultrasound examination (US) for urgent indications (Sonoscape S20 scanner). It is established that the FAST Protocol system shows high efficiency in traumatic damage of the thoracic, abdominal, pelvic and retroperitoneal cavities and is recommended for introduction into the mandatory diagnostic algorithm of examination for all types of injuries at the first stage of emergency medical care.

References

  1. Akberov R.F., Zyyatdinov K.Sh., Mikhailov M.K., Yakhin M.M., Nurgaliev R.G., Sakhapova L.R., Safiullina L.R., Diomidova V.N., Utkel’baev R.I. Kompleksnaya kliniko-luchevaya diagnostika zabolevanii, funktsional’nykh narushenii, porokov razvitiya i opukholevykh porazhenii pishchevoda, zheludka i piloroduodenal’noi zony [Comprehensive clinical-beam diagnosis of diseases, functional disorders, malformations and tumor lesions of the oesophagus, stomach and pylorododenal zone]. Naberezhnye Chelny, 2010.
  2. Barris D., Re S., Kaufman S., Ostin B.A. Reanimatsiya dlya nekontroliruemogo gemorragicheskogo shoka [Resuscitation for uncontrolled hemorrhagic shock]. Travma, 2000, no. 2, pp. 216–223.
  3. Blazhenko A.N., Zavrazhnov A.A., Dubrov V.E., Khanin M.Yu., Blazhenko A.A., Bagov O.Kh. Otsenka informativnosti metodov diagnostiki sochetannykh i mnozhestvennykh povrezhdenii v ostrom periode politravmy v usloviyakh travmotsentra 1-go urovnya [Assessment of informative methods of diagnosing combined and multiple injuries in the acute period of polytrauma in the conditions of the trauma center of the 1st level]. Skoraya meditsinskaya pomoshch’, 2011, vol. 12, no. 4, pp. 68–74.
  4. Bulach T.P., Afanas’eva I.V. Ul’trazvukovaya diagnostika v rabote vracha skoroi meditsinskoi pomoshchi (protokoly urgentnogo ul’trazvukovogo issledovaniya. Chast’ II) [Ultrasound diagnostics in the work of an emergency physician (protocols of urgent ultrasound. Part II)]. Skoraya meditsinskaya pomoshch’, 2019, vol. 20, no. 3, pp. 68–74.
  5. Bulach T.P., Petrova N.V, Izotova O.G., Afanas’eva I.V. Ul’trazvukovaya diagnostika v rabote vracha skoroi meditsinskoi pomoshchi (protokoly urgentnogo ul’trazvukovogo issledovaniya. Chast’ 1) [Ultrasound diagnostics in the work of an emergency physician (protocols of urgent ultrasound. Part 1)]. Skoraya meditsinskaya pomoshch’, 2018, no. 3, pp. 83–89.
  6. Vasil’ev A.Yu. Luchevaya diagnostika politravmy [Radiation diagnosis of polytrauma]. Vestnik rentgenologii i radiologii, 2010, no. 4, pp. 13–17.
  7. Grin’ A.A., Danilova A.V., Sergeev K.S. Opyt ispol’zovaniya FAST-protokola u patsienta s politravmoi, soprovozhdayushcheisya perelomami kostei taza i bedra [Experience with FAST protocol in a patient with a polytrauma accompanied by fractures of the pelvic and hip bones]. Politravma, 2018, no. 1, pp. 60–64.
  8. Diomidova V.N. Vizual’naya kharakteristika neizmenennogo i operirovannogo zheludka pri ul’trazvukovom issledovanii [Visual characteristic of an unmodified and operated stomach during ultrasound examination]. Meditsinskaya vizualizatsiya, 2015, no. 4, pp. 46–55.
  9. Dorovskikh G.N., Gorlina A.Yu. Luchevaya diagnostika i lechenie politravmy soglasno protokolam ATLS (obzor literatury i sobstvennye nablyudeniya) [Radiation diagnosis and treatment of polytrauma according to ATLS protocols (literature review and own observations)]. Radiologiya-praktika, 2014, no. 5, pp. 73–81.
  10. Ermolaev A.S., Abakumov M.M., Sokolov V.A., Kartavenko V.I., Epifanova N.M. Obshchie voprosy okazaniya meditsinskoi pomoshchi pri sochetannoi travme [Common issues of care for combined trauma]. Khirurgiya, 2003, no. 12, pp. 7–11.
  11. Iova A.S., Kryukova I.A., Iova D.A. Pansonoskopiya pri politravme (novaya meditsinskaya tekhnologiya) [Pansonoscopy in polytrauma (new medical technology)]. Ortopediya, travmatologiya i vosstanovitel’naya khirurgiya detskogo vozrasta, 2014, vol. II, iss. 1, pp. 30–33.
  12. Kaplan A.V. K voprosu o klassifikatsii i prichinakh politravmy [To the question of classification and causes of polytrauma]. Voenno-meditsinskii zhurnal, 1984, no. 4, pp. 30–33.
  13. Ma O.Dzh. Ul’trazvukovoe issledovanie v neotlozhnoi meditsine [Ultrasound in emergency medicine]. Moscow, BINOM. Laboratoriya znanii Publ., 2014, pp. 90–120.
  14. Khirurgicheskaya pomoshch’. Travmatizm [Surgical care. Injuries]. Available at: https://www.who.int/surgery/challenges/esc_injuries/ru.
  15. Peterson D., Arntfield R.T. Critical care ultrasonography. Med. Clin. North Am., 2014, vol. 32, no. 4. pp. 907–926.
  16. Wongwaisayawan S., Suwannanon R., Prachanukool T. et al. Trauma Ultrasound. Ultrasound. Med. Biol., 2015, vol. 41, no. 10, pp. 2543–2561.

About authors

Diomidova Valentina N.
Doctor of Medical Sciences, Professor, Dean of the Medical Faculty, Chuvash State University, Russia, Cheboksary (diomidovavn@rambler.ru)
Abyzov Ildar N.
Assistant Lecturer, Department of General Surgery and Oncology, Chuvash State University; Chief Medical Officer, Emergency Hospital, Russia, Cheboksary
Anyurov Sergey A.
Assistant Lecturer, Department of Surgical Diseases, Chuvash State University; Deputy Chief Medical Officer, Emergency Hospital, Russia, Cheboksary (anurov78@mail.ru)
Razbirina Ekaterina A.
Student of Medical Faculty, Chuvash State University, Russia, Cheboksary (razbirinae@mail.ru)
Fedorova Nataliya V.
Head of the Ultrasound Department, Emergency Hospital, Russia, Cheboksary

Article link

Diomidova V.N., Abyzov I.N., Anyurov S.A., Razbirina E.A., Fedorova N.V. Effectiveness of Emergency Ultrasound Diagnostics in Providing Emergency Medical Care for Injuries [Electronic resource] // Acta medica Eurasica. – 2020. – №2. P. 8-14. – URL: http://acta-medica-eurasica.ru/en/single/2020/2/2/.