FIELD: medicine.
SUBSTANCE: one should determine ECG values, saturation (S), response of arterial pressure (AP) to inotropic support due to introducing dopamine (IS), microcirculation (M), central venous pressure (CVP), average arterial pressure (AvAP), hourly diuresis (D). In case of individual extrasystoles on ECG, C value being 91-90, IS being below 5 mcg kg/min, M being 2-3 sec, CVP being 4-6 cm watery column, AvAP 70 and more mm mercury column, D 30-40 ml/h each of these parameters should be evaluated as 0 points. In case of polytopic extrasystoles on ECG, at C value being 91-90 at FiO2 being below 0.5, IS 5-10 mcg kg/min, M being equal to 3-5 sec, CVP of 1-4 cm watery column, AvAP 60 and more mm mercury column, D 20-30 ml/h each of these parameters should be evaluated as 1 point. At combination of polytopic extrasystoles and myocardial ischemia on ECG, C value being 91-90 at FiO2 being above 0.5, IS above 10 mcg kg/min, M above 5 sec, CVP being below 0 or above 14 cm watery column, Av.AP 50 and more mm mercury column, D below 20 ml/h one should evaluate every value as 2 points. The values should be summarized and at total value ranged 0-6 severely affected patients should be considered as transportable people, at its value ranged 0-10 the preparation should be desired, at its value being 11 and more - it should be concluded upon nontransportability. The innovation enables to perform objective evaluation of severe state in affected patients.
EFFECT: higher accuracy of evaluation.
4 ex, 5 tbl
Title | Year | Author | Number |
---|---|---|---|
METHOD FOR ASSESSING SEVERITY OF CONDITION OF VICTIMS IN MOTOR-VEHICLE ACCIDENTS WITH A CONCOMITANT INJURY | 2022 |
|
RU2790772C1 |
METHOD FOR ASSESSING THE SEVERITY OF INJURIES IN ROAD TRAFFIC ACCIDENTS IN THE PRE-HOSPITAL PERIOD, AT THE STAGE OF THE ADMISSION-DIAGNOSTIC DEPARTMENT OF THE HOSPITAL PERIOD | 2019 |
|
RU2711384C1 |
METHOD OF TAKING RISK ASSESSMENT OF DEVELOPMENT OF VENOUS THROMBOEMBOLIC COMPLICATIONS IN WOUNDED AND INJURED PEOPLE | 2016 |
|
RU2657196C2 |
METHOD FOR INDIVIDUAL PREVENTION OF OESTROGEN-DEPENDENT DISEASES IN HEALTHY FEMALES AND FEMALES SUFFERING CARDIOVASCULAR RISK FACTORS AT AGE OF 45-60 YEARS OLD | 2013 |
|
RU2527357C1 |
METHOD FOR STIMULATION OF MOTOR ACTIVITY OF INTESTINE | 2002 |
|
RU2217139C1 |
METHOD FOR ASSESSING SEVERITY OF CHEST INJURY | 2023 |
|
RU2815219C1 |
METHOD FOR ANESTHETIZING WOUNDED PATIENTS AND THOSE SUFFERED AT PRE-HOSPITAL STAGE DURING PROLONGED EVACUATION DUE TO COMBINED INJECTION OF TORADOL AND DALARGIN | 2004 |
|
RU2306146C2 |
METHOD FOR EVALUATING RISK OF REMOTE DEATH AND NONFATAL CARDIOVASCULAR COMPLICATIONS IN PATIENTS WITH CHRONIC ISCHEMIC HEART DISEASE | 2014 |
|
RU2570089C1 |
METHOD OF RISK EVALUATION OF PERIOPERATIVE CARDIOVASCULAR COMPLICATIONS IN EXTRACARDIAC SURGERIES | 2009 |
|
RU2410017C1 |
METHOD OF TREATING TRAUMATIC SHOCK OF III SEVERITY DEGREE | 2018 |
|
RU2677333C1 |
Authors
Dates
2006-03-10—Published
2004-10-11—Filed