The use of anti-shock suit "chestnut" in the treatment of severe concomitant trauma

Abstract

Antishock «Kashtan» costume was used in complex treatment of 31 injureds with severe comcomitant trauma (in 13 patients — at prehospital stage, in 18 — at hospital stage). Application of «Kashtan» gave the possibility to decrease the lethality up to 25.8%. Timely use of antishock costume was shown to provide the stabilization of hemodynamics, prolong the «golden hour» (the period of relative compensation), prevent the torpid shock development, perform required surgical intervention and to improve the outcomes. Indications and contrindications to «Kashtan» use are given.

Keywords

anti-shock suit / reduction of postural hypotension in neurosurgical patients / "chestnut"

References

[1] Елфимов П.В., Кузнецова Н Л., Рыбин А.В. Организация специализированной травматологической помощи в условиях многопрофильного стационара: Сб. науч, трудов. — Москва; Омск, 2000. — Т. 1. — С. 99- 102.

[2] Пиковский В.Ю., Стороженко И.Н., Судьин В.И. и др. //Анест. и реаниматол. — 1995. — N 1. — С. 22-25.

[3] Сингаевский А.Б., Малых И.Ю. Актуальные проблемы современной тяжелой травмы: Тезисы Всерос. науч. конф. — СПб, 2001. — С. 106-107.

[4] Соколов В.А., Диденко А.А., Макаров С.А. //Вести, интенсив, тер. — 1993. — N 2~3. — С. 22-26.

[5] Соколов В.А., Макаров С.А. //Воен.-мед. журн. — 1995. — N 10. — С. 72-75.

[6] Crile G. Blood-pressure in surgery: an experimental and clinical research. — Philadelphia; London, 1903.

[7] Dickinson M., Roberts I. MAST for circulatory in patients with trauma: Cochrane Review, 2000.

[8] Gutter B.S., Daggett W.M. I /Ann. Surg. — 1971. — Vol. 173. — P. 511-514.

[9] McSwain N.E. et al. The basic EMT. Comprehensive prehospital patient care. — St. Louis, 1997.

[10] Moreno C., Moore E.E., Rosenberger A. et al. //J. Trauma. — 1986. — Vol. 26. — P. 987.

[11] Rosseman R. A brief history of MAST. — Page Wise Inc., 2001.

[12] Stoy W. Mosby’s EMT-basic textbook. — St. Louis, 1986

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