The use of anti-shock suit "chestnut" in the treatment of severe concomitant trauma

Antishock Kashtan costume was used in complex treatment of 31 injureds with severe comcomitant trauma (in 13 patients at prehospital stage, in 18 at hospital stage). Application of Kashtan gave the possibility to decrease the lethality up to 25.8%. Timely use of antishock costume was shown to provide the stabilization of hemodynamics, prolong the golden hour (the period of relative compensation), prevent the torpid shock development, perform required surgical intervention and to improve the outcomes. Indications and contrindications to Kashtan use are given.