[Causes of death at the early post-traumatic period]

The causes of lethal issues in the acute period in 897 patients with grave associated injuries are analysed in detail. A definite morphological substrate of injuries would underline grave functional disturbances. The principal causes of mortality in trauma were as follows: acute massive blood loss (35.5%), primary damage of the ventilatory apparatus and acute respiratory insufficiency (24.8%), impairment of the specific function of vitally important organs (29.7%), or various combinations of these leading mechanisms of tanatogenesis. Most frequent hazards of an acute period of grave injury in the practice of treatment and reanimation (delayed diagnosis, inadequate infusion therapy, aspiration and regurgitation) are emphasized. Based on the results of the analysis made, some trends of improvement of modern methods of reanimation and treatment are delineated.