Complex and unresolved issues of providing assistance in severe trauma, realities and possible prospects

The article presents an analysis of the literature data on the provision of care to patients with severe injuries. It has been established that in the Russian Federation to this day there is no generally accepted system for assessing the severity of injury. The absence of a single standard in principle does not allow analyzing the effectiveness of a particular therapeutic tactic. When analyzing the Russian literature on the problem of trauma, there is an exceptional variety of evaluation tools used. Predictive scales are often used to retrospectively assess the severity of injury, or statistical tools of injury severity are used for forecasting. A number of domestic researchers resort to using the American system. However, the following important aspect should be noted here, the use of these scales provides for special education and is an intellectual product of this organization and its use by untrained persons carries the threat of incorrect use. In addition to the tool for assessing the severity of injury, measures are needed to collect information about the injured. A single database allows you to analyze the dynamics by region and country, evaluate the effectiveness of measures to improve the quality of care. The attention of the state, a systematic approach and sufficient funding have a positive effect on the survival of victims. There is no reliable evidence of the effect of the trauma system itself. Copying foreign models is pointless and harmful, the trauma system model should be developed taking into account local peculiarities. The inclusive model is the most promising. The impact on the survival of delivery times and personnel qualifications has been reliably proven.