FEATURES OF SECONDARY MEDICAL SORTING DURING MASS ARRIVALS OF CIVILIAN CASUALTIES

Abstract

Summary. Aim. To analyze the possibilities of the combined use of modified scales Revised Trauma Score (RTS) and Sonographic Scoring for Operating Room Triage in Trauma (SSORTT) in secondary triage during mass influx of civilian victims. Materials and methods. The work is based on the analysis of the results of secondary sorting at the level of the diagnostic and reception department of Kharkiv Regional Clinical Hospital of 56 victims who sought medical help in an urgent manner during various cases of mass influx of civilian victims in 2022. The nature of the injuries received: isolated gunshot (shrapnel) wounds – 24 (42.9%); combined gunshot (shrapnel) wounds of the chest, abdomen, limbs – 10 (17.9%) victims; explosive injury (closed injury of the abdomen, chest, acubarotrauma, brain concussion) – 6 (10.7%); explosive wound – 14 (25%). Research results. Using a combination of RTS and SORTT diagnostic and prognostic scales for secondary medical triage, the victims were divided by sorting categories: red sorting category – 13 (23.2%); yellow – 20 (35.7%); green – 19 (34.0%); black – 4 (7.1%). Conclusion. The use of the modified RTS and SORTT scales allows for quick (within 90±25 seconds per victim) medical triage and qualitatively reveals changes in the body of the injured (12.5% of cases of changes in the triage category).