Medical aid plan: Introduction

Danger for the surrounding people:

- those who need special sanitary treatment;

- those who are liable to temporary isolation;

Medical signs:

- the degree of need of medical help;

- the degree of priority and place of its rendering;

- Requiring the urgent medical help;

- The help may be postponed (there is no need in urgent medical help);

- those in need of symptomatic aid (terminal states, traumas incompatible with life);

Evacuation signs:

- the necessity and degree of priority of evacuation;

- the type of transport and way of evacuation (laying, sitting);

- the kind of medical establishment, where the evacuation is necessary.

For acceleration of assortment and rendering of the medical help there are many ways.
For example, there is a simple method of outcome evaluation in casualties with mechanic trauma at mass admission of victims. The method is based on evaluation of prognostic index in numbers:
visible injuries: head - 2, chest (spine) - 3, abdomen (pelvis) - 4, fracture of the femur-5, fracture of the calf, upper arm, forearm - 3 each.
The state of consciousness: loss- 5
Approximate (biological) age, elder than: 50 years - 2, 60 years - 5, 70 years – 7, 80 years - 10
Blood pressure is not taken, the severity of shock is not taken into account, as at a shock of the 3rd degree there is loss of (which is estimated by 5 marks).
Calculation of prognosis: at summation of the marks you will get prognostic index according to which the casualties are divided into three groups:

Sorting groups	Marks	Outcomes
		Prognosis	Mortality,%
1	More 15	Unfavourable	90
2	10-12	Doubtful	30
3	10	Favourable	10

Prognostic index of more than 20 indicates almost hopeless state, particularly in conditions of mass admission of casualties.
If besides a mechanic trauma the victim has a thermal trauma, then every 10 % of the body surface affected by burn (is defined by Wallace’s method of “nines”), are added as 3 marks to the prognostic index obtained in evaluation of a mechanic trauma.