DISASTER MEDICINE No. 2(106)•2019
USE OF AIS, ISS AND FIELD SURGERY (GUN WOUNDS) SCALES TO ASSESS SEVERITY OF INJURIES IN MILITARY PERSONNEL IN PERFORMING SERVICE AND COMBAT MISSIONS. REPORT 1 Download the article in pdf format
Koltovich P.I.1, Ivashchenko A.N.1, Nikolaev K.N.2, Zubritsky V.F.3, Ivchenko D.R.4, Koltovich A.P.5, Akimov A.V.1, Dvortsevoy S.N.1, Tsvigun O.V.1
1 Main Military Clinical Hospital of the Russian National Guard Troops, Balashikha, Moscow Region, Russian Federation
2 Military Medical Academy named after S.M.Kirov” of the Ministry of Defence of the Russian Federation, St. Petersburg, Russian Federation
3 Institute of Continuing Medical Education, Moscow, Russian Federation
4 Department of Medical Support of the Federal Service of the Russian National Guard, Moscow, Russian Federation
5 Main Clinical Hospital of the Russian Ministry of Internal Affairs, Moscow, Russian Federation
The aim of the study is to determine the possibility of use AIS, ISS, Field Surgery (Gun Wounds) – FS (GW) scales to assess the severity of injuries sustained by military personnel performance of combat missions and counter-terrorism operations in the North Caucasus in 1994-2013.
Materials and methods of research. The materials of the study were medical records of more than 6.8 thousand soldiers with a gunshot wounds. The AIS, ISS and FS (GW) scales were used to assess the severity of the injuries. Depending on the number of points, the wounded were divided: on the ISS scale – into 5 groups; on the FS (GW) scale (GW) – 6 groups.
Statistical program package Statistica V. 6.1 and resources Excel spreadsheets were used for statistical processing of the data received.
Research results and their analysis. In the local armed conflict in the absence of a clear front line, the bulk of combat sanitary losses are soldiers with light and medium-heavy wounds: on the ISS scale – from 1 to 3 points – 79.1%; on the FS (GW) – from 0 to 1 point – 81.9%. During intense fighting the share of such injuries reaches 90%. At the same time, with the low intensity of hostilities, the proportion of serious injuries exceeds 50%, which is associated with the use of ambushes by terrorists, and of explosives and modern weapons.
Prevention of venous thromboembolic complications in patients with combat gunshot injury in ISS≤6 is indicated only in the presence of risk factors for their development, in ISS>6 – is indicated to all wounded.
It is concluded that the data on the severity and frequency of damage to certain anatomical areas of the body, obtained by using these scales, are the basis for optimizing the treatment, prevention and evacuation measures for wounded soldiers in the conditions of the local armed conflicts.
Key words: AIS scale, FS (GW), ISS scale, local armed conflict, pulmonary embolism, severity of injuries, thrombosis, venous thromboembolic complications, wounded soldiers
For citation: Koltovich P.I., Ivashchenko A.N., Nikolaev K.N., Zubritsky V.F., Ivchenko D.R., Koltovich A.P., Akimov A.V., Dvortsevoy S.N., Tsvigun O.V., (Use of AIS, ISS and Field Surgery (Gun Wounds) Scales to Assess Severity of Injuries in Military Personnel in Performing Service and Combat Missions. Report 1), Disaster Medicine, 2019; 2(106): 22–26 (In Rus.).
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