In victims with heavy mechanical trauma, received in conditions of deep coal mine, it was conducted clinical inspection and blood drawing for consequent biochemical analysis. The inspection was carried out at the incident place, after lifting on the ground and at the sanitary inspection room of the hospital. The victims were delivered to the hospital by mine-rescue service. As a research result it was established, that the factors of external environment of deep coal mine change the clinical course of the trauma and shock. High barometric pressure favors centralization of the blood circulation and increases it by trauma. Therefore the loss of blood is decreased, however, simultaneously loading on myocardium increases and hypoxia in peripheral organs tissues increases. Decompression, as a result of lifting, restores the disturbed blood circulation. Washout of toxic metabolism products from peripheral tissues increases the severity of injury. An intoxication clinic, as a rule, displays itself at a hospital stage.
