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Medical sorting of injured ear, nose, throat
On the battlefield and on the BCH, the victims are divided into two groups:
- the first - wounded with signs of suffocation (frequent hoarse breathing, blueness of the face, motor anxiety) or with bleeding from the nose, ear, mouth, and neck. The wounded of this group are assisted and evacuated to the MPP in the first place;
- the second - the wounded with damage to the ENT organs without signs of suffocation and bleeding, these wounded are assisted and evacuated to the MPP in the second place.
In the MPP, among the ENT injured, the wounded are identified who need emergency first aid measures. Such wounded include:
- wounded with the effects of asphyxia due to wounds, bruises or burns of the pharynx, larynx, trachea;
- wounded with ongoing external bleeding from the nose, mouth, or wounds;
- ENT injured with signs of traumatic shock.
The wounded, who received emergency first aid, as well as the remaining victims with injuries of the ENT organs, are sent to omedb (omo).
According to the urgency of providing qualified surgical care and the order of evacuation of ENT, the wounded are divided into four groups:
- the first group: the wounded, in need of qualified surgical care for health reasons. This group includes the wounded with asphyxia, with ongoing bleeding from the ENT organs, with signs of traumatic shock. First-aid measures of qualified surgical care to the named group of wounded are carried out in the first place, after which the wounded are evacuated to a specialized hospital in the first place;
- the second group: wounded with injuries of ENT of moderate and severe organs without signs of suffocation, bleeding, shock, which do not require qualified surgical care for health reasons. This contingent is evacuated to a specialized hospital secondarily;
- third group: ENT injured with minor injuries, bruises and contusions. These injured are evacuated to the HPLR in the third place. Some of these wounded (with a term of treatment up to 10 days) are left in the team of recovering omedb;
- the fourth group: the wounded with extremely severe injuries of ENT organs in combination with extremely severe injuries of other localizations, with combined radiation injuries that are not compatible with life.
This group of wounded is not subject to evacuation.
According to the urgency of specialized surgical care of the wounded with injuries of ENT organs, they are divided into four groups:
- the first group: the wounded, in need of urgent measures, the refusal of which is fatal. This group includes the wounded with asphyxia due to the development of edema of the respiratory tract during evacuation, with secondary bleeding from the ENT organs, traumatic shock that developed on the evacuation path. Urgent activities are carried out in the first place;
- the second group: the wounded, in need of interventions, the untimely implementation of which can lead to serious complications. This group includes those wounded with extensive injuries of ENT organs with bone damage, with swallowing disorder, with acute purulent post-traumatic complications (phlegmon, sinusitis, mastoiditis), and foreign bodies that cause functional disorders. Specialized measures for the second group of wounded are carried out secondarily.
- third group: the wounded, in need of measures, the delay of which, provided that antibiotics are used, will not necessarily lead to dangerous complications. This group includes the wounded with injuries of soft tissues, with a tracheostomy and the possibility of decanulation, with foreign bodies of the ear, throat and nose without respiratory failure and blood supply to organs with cosmetic defects (facial paralysis, deformation of the nose, ear). Measures to assist the ENT in the wounded of the third group are carried out in the third turn.
- the fourth group: ENT injured with injuries in combination with other lesions, in extremely serious condition and requiring only symptomatic treatment.
In addition to the named main groups of ENT injured in VPNhG, two more relatively small groups of wounded can be distinguished:
- lightly affected (evacuated to the HPLR);
- wounded, requiring multi-stage plastic surgeries, with treatment periods exceeding 60 days (evacuated to the rear hospitals).
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Medical sorting of injured ear, nose, throat
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