The article analyzes rendering medical care to 378 wounded with gunshot fractures and mine-explosive wound limbs at all stages of medical evacuation from April 2014 to February 2015 during the anti-terrorist operation in eastern Ukraine.
Objective: to improve the results of assistance to the wounded from combat limb injuries by introducing differentiated surgical treatment using a scale assessing the severity of the injury AdTS (Admission trauma scale).
Research results. Of the 378 wounded with gunshot fractures and mine-explosive wounds of the extremities there dominated seriously injured — 46.56%; moderate severity — 45.50%, very severe — 7.94%. Injury was moderate severity at indicators from 1 to 4 points, survival prognosis and course of traumatic disease was defined as favorable under conditions of admission office, treatment of wounded was carried out in full. Severe injury was determined at 5–9 points indices, survival and prognosis of traumatic disease course was doubtful assistance was provided under antishock chambers, treatment of wounded was conducted in reduced terms. Injury was very serious at indicators more than 9 points, the survival prognosis and course of traumatic disease was defined as poor, assistance was provided at antishock chamber and operating room treatment was conducted in a minimum volume on the basis of “damage control”.