Keywords
Abstract
The aim of the research was to study effective ways of improving a scheme of medical aid to patients with combined cranial trauma in emergency departments. During 2014-to 2019 years 615 patients were admitted to the Division of Multitrauma, Neurosurgery, and Neuroresuscitation of the Andizhan branch of the Republican Emergency Center. All the patients had verified cranial trauma. Vehicle accident trauma was noted in 64%, home trauma in 26%, fall from a height in 6%, occupational accident in 1% of cases. Cranial trauma in combination with upper and lower extremity injuries was noted in 46%, with spinal trauma in 29%, thorax in 20%, and pelvic fracture in 5% of patients. Brain concussion was diagnosed in 43%, mild contusion in 29%, moderate contusion in 10%, severe contusion in 13%, and diffuses axonal injury in 5% of cases. Primary hospitalization of patients with combined cranial trauma in specialized institutions improves outcomes of treatment at a two-fold rate. Diagnostic measures and manipulations in severe combined cranial trauma are not frequently possible or difficult to perform due to multiple traumatic injuries. Operative interventions for progressing compression to the brain and spine should be performed in emergent cases including severe (but not terminal) patients