Terminology, structure and organization of trauma resuscitation

Continuous progress of industrial and household appliances, a systematic increase in the number of vehicles and the growth of their velocities, all accelerated rhythm of life create real conditions for the growth of the Number of accidents, often life-threatening victims.
In this regard, special attention should be paid not only tactical, but also organizational matters, the establishment of a clear framework and a unified organizational system trauma intensive care services.
Apparently, in the interests of the discussion in the first place should focus on some of the concepts and definitions common in medical practice.
As they say, the benefit to the victim at the scene begins with the first medical aid - complex simple measures aimed at alleviating the suffering of the victim, for the primary prevention of traumatic shock, reducing the likelihood of severe injury and possibly death. But as first aid is not always the medical staff, it will not always be medical. In this regard, we believe it is more correct to interpret the manual first provided to the victim at the scene, as first aid, which, depending on the degree of competence of the parties, implementing, may be in the form:
a) self-help,
b) mutual assistance rendered by untrained persons
C) mutual assistance rendered specially prepared, not having medical education, persons,
g) care provided by health workers (average staff and doctors).
The latter in turn can be pre-medical, first medical or qualified, performed by special crews of emergency medical care. It should be noted that first aid is usually specialized, as its implementation at the scene of necessary conditions and means, as a rule, no.
Discussing the issues of health services, it is necessary to mention another contradiction concerning our ideas about the essence of skilled and specialized care. As is known, the concept of "the professional assistance" means the treatment of the victim, executed in full volume at a high professional level. Otherwise, it simply can not be considered qualified. At the same time, special care must also be met in the necessary volume and, of course, cannot be unqualified. Thus, the difference between the concepts of "the professional assistance" and "specialized care" is not, as she rendered, and by whom and where. Without going deep into terminological discussion, it is possible to confirm what was said to remind you that say manipulation that correctly performed medical assistant, without a doubt can be recognized as qualified assistance, and it follows from this that practically qualified assistance in the direct meaning of the notion possible on any medical stage. As for specialized care, it can only be rendered in a properly equipped hospital and in the presence of specialists, i.e. doctors, well versed in this particular pathology, knowledgeable and capable to provide the necessary assistance. It is obvious that the latter is not always require high-skilled specialists or so-called specialists, since in some cases, assistance may be provided and surgeons wide profile that existing item will no longer be considered a "specialized" care. When planning forces and means trauma intensive care services should be required for all victims to provide expert assistance and only for certain contingents - specialized. All mentioned above allows to represent the structure of trauma resuscitation services in the form of pre-hospital and hospital.
The first stage - prehospital - first aid at the scene.
The second stage - help in the process of transporting the victim to the hospital.
The third stage - hospital - medical skilled or specialized care provided by a competent physician or physicians), which may result in the need to itself the right of a narrow specialist and contain the victim in the Department, equipped with everything necessary to provide full benefits.

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