RESULTS OF MEDICAL CARE FOR PERSONS WITH POLYTRAUMA IN ALMATY AND CORRECTION OF THE ORGANIZATIONAL APPROACH.

Organizational aspects of patient management play an important role in ensuring adequate diagnosis, treatment, and rehabilitation. They are especially important in severe acute conditions in therapeutic, surgical practice, and traumatology. Polytrauma occupies a special place among traumatic injuries, is allocated to a special category at the level of all stages of medical care for patients with traumatic injuries. The purpose of the study was to evaluate the effectiveness of providing care to patients with polytrauma in a metropolis (Almaty), including when using a modified management program at the prehospital and hospital stages. Research base: Emergency medical care organizations in Almaty, clinics providing hospital medical care to patients with injuries in Almaty. The general characteristics of polytrauma in the conditions of the Kazakh metropolis - Almaty - allows us to note its relatively moderate prevalence, combined with high mortality, which causes a significant part of the negative outcomes of traumatic injuries in general. According to some data, the mortality rate for multiple injuries in a metropolitan area ranges from 18% to 32%, depending on the severity of the condition, the timeliness of assistance, and the coordination of actions between the stages of prehospital and hospital treatment.