{
  "abstract": "Please confirm that an ethics committee approval has been applied for or granted: Yes: I’m uploading the Ethics Committee Approval as a PDF file with this abstract submissionBackground and Aims Combat injuries are one of the most common and widespread injuries in Ukraine and other countries at war. In many cases, they are characterized by extensive tissue and organ damage, accompanied by intense pain and a variety of stress reactions. The aim of the study was to determine the manifestations of pain syndrome in combat injuries in the early hospital periodMethods Combat injuries are one of the most common and widespread injuries in Ukraine and other countries at war. In many cases, they are characterized by extensive tissue and organ damage, accompanied by intense pain and a variety of stress reactions. The aim of the study was to determine the manifestations of pain syndrome in combat injuries in the early hospital periodResults When assessing pain syndrome using the CPSCI scale, it was found that at the time of admission to the hospital, pain syndrome of mild and moderate intensity was observed in 47% and 47% of patients, respectively. Severe pain syndrome was observed in 6% of patients. Patients who were admitted to the hospital conscious characterized the pain as moderate (4–5 points) on the digital pain scale. At the time of admission to the hospital, the wounded with severe pain syndrome according to CPSCI showed moderate arterial hypertension (SBP - 110±1.2 mm Hg) and tachycardia (HR - 101±1.4 beats/min). Leukocytosis (14×109±0.09), an increase in the level of rod-shaped neutrophilsConclusions Thus, a significant part of the wounded who are admitted to the hospital on the first day after injury experience moderate pain. Pain syndrome and stress reaction to combat injuries manifest themselves in the form of hemodynamic changes and changes in the general blood test and glycemia. However, the issues of pain diagnosis and the development of analgesia methods require further study.",
  "authors": [
    {
      "affiliations": [
        "Department of Anesthesiology for the Provision of Emergency Medical Care with Polytrauma Intensive c, Communal Enterprise ‘Dnipropetrovsk Regional Clinical Hospital Named After I.I. Mechnikov’ of the Dn, Dnipro, Ukraine"
      ],
      "name": "Oleksandr Aivardzhi"
    },
    {
      "affiliations": [
        "Head of Anesthesiology, ICU an ED, Professor, Kiyv Regional Hospital, Departament of Anesthesiology and IC P.L. Shupyc NUHC Ukraine, Kiyv, Ukraine"
      ],
      "name": "Dmytro Dziuba"
    }
  ],
  "title": "P230 Manifestations of pain syndrome in combat trauma at the early hospital stage",
  "uid": "557f25b7-025b-5f25-8b6c-aacc46a0f765"
}