Organization of Surgical Care for Patients with Abdominal Injuries in Peacetime Emergences

2001 ◽  
Vol 82 (3) ◽  
pp. 203-207
Author(s):  
A. Yu. Anisimov
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Medical Service ◽  
Action Plan ◽  
Surgical Care ◽  
Road Accidents ◽  
Abdominal Injuries ◽  
Medical Aspect ◽  
Main Thing ◽  
Early Preparation

The tragic events of recent years have shown the need to radically rethink the approach to providing medical care to the population affected by peacetime emergencies. The very concept of catastrophe has acquired a very definite medical and organizational meaning today [33]. In the medical aspect, it is understood as a sudden, extremely dangerous event for the health and life of people, which caused a discrepancy between the acute need for medical care and the capabilities of the available forces and means of the medical service to provide it [36]. In this context, it is appropriate to note that the main thing in a disaster is not its size, but the available resources of survival [15]. That is why the early preparation for a meeting with the elements, allowing to resist the situation of confusion and chaos, is rightly called the cornerstone in the system of measures for the successful elimination of its consequences [26]. Even in small peacetime disasters (road accidents), due to low organization, lack of a clear action plan, and insufficient training of practitioners in extreme medicine, only about 50% of those in need receive emergency care [11]. It is obvious that the emergency requires a restructuring of the doctor's thinking from optimal individual to optimal collective medicine.

scholarly journals Organization of rendered surgical assistance in extreme conditions of autonomous navigation

2018 ◽  
Vol 20 (2) ◽  
pp. 254-258
Author(s):  
A K Soroka ◽  
V N Kotelnikov ◽  
V E Nazarov ◽  
B I Geltser ◽  
V A Dergunov
Keyword(s):  
Medical Care ◽  
Autonomous Navigation ◽  
Medical Service ◽  
Surgical Care ◽  
Extreme Conditions ◽  
Surgical Assistance ◽  
Active Implementation ◽  
High Level ◽  
Laparoscopic Techniques

The problem related to the need to improve the effectiveness of providing emergency surgical care in extreme conditions of autonomous navigation is discussed. The principle of organization of medical support cannot be effectively implemented in the realities of the present time, due to the lack of sufficient naval bases. Modern medical technologies seem to be a strategic reserve that can solve the emerging problems before the medical service of the Navy. The most priority and promising technique with a high level of quality of urgent surgical care is the use of laparoscopic techniques by the personnel of the medical service directly at the ship’s medical station. Presented data on the results of the application of this technique indicate its prospects. In addition, in order to optimize the provision of emergency medical care to seamen in conditions of autonomous navigation, it is expedient to actively use telemedicine. The historical and systematic review of modern literature confirms the high potential of these methods provided that the surgeons’ competence and scientific and practical solution of technical aspects are sufficient. Important is the development of professional standards for specialized medical care in emergency conditions in the sea and active implementation in clinical practice.

scholarly journals The historical example of economic effect resulted from complex interagency interaction in pre-emergency medical care for injured in traffic accident

TRAUMA ◽  
2021 ◽  
Vol 22 (5) ◽  
pp. 33-37
Author(s):  
A.I. Protsyk ◽  
H.I. Hertsen ◽  
H.H. Bilonozhkin ◽  
O.S. Movchan ◽  
S.V. Dybkaliuk ◽  
...  
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Traffic Accident ◽  
Economic Effect ◽  
Negative Consequences ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
High Quality ◽  
Different Levels ◽  
Significant Attention

The work emphasizes the urgency of this problem, the importance of timely and high-quality pre-hospital assistance to victims of road accidents. The purpose was to show the importance of complex, interagency interactions in helping victims on motorways. The existing different tactical schemes to assist victims at the pre-hospital stage were analyzed. The success of the European countries in reducing the level of road accidents has shown their negative consequences compared to the Ukrainian current indicators. Also, the historical example of the constitutional result from the introduction of several provisions and actions in 1985 and 1986 in the USSR to improve pre-emergency care for the injured on the highways. As a result of the introduction of the provisions, the savings from pre-hospital losses amounted to 96.85 % of the total loss of fatalities on motorways. These data show the need to improve the universal organizational scheme of assistance to victims at the pre-hospital stage in Ukraine, which requires significant attention from state structures of different levels.

scholarly journals Emergency Medical Service to Psychiatric Patients

2020 ◽  
Vol 9 (2) ◽  
pp. 215-220
Author(s):  
E. Y. Tyavokina ◽  
I. M. Barsukova
Keyword(s):  
Mental Disorders ◽  
Medical Care ◽  
Russian Federation ◽  
Emergency Care ◽  
Medical Service ◽  
Psychiatric Patients ◽  
Emergency Medical Care ◽  
Current State ◽  
Emergency Medical ◽  
Social Importance

Abstract The issues of providing medical care to patients with mental disorders are of exceptional medical and social importance. The aim of the study was to analyze the current state of medical care for psychiatric patients under emergency medical care (EMC) conditions. We used regulatory, statistical and analytical methods. The gaps of the normative legal support of the activities of the teams in the provision of ambulance care for patients with mental disorders and behavioral disorders are considered. In order to improve legislation in the field of ambulance care, it was proposed to amend the Procedure for the provision of emergency, including specialized medical care, approved by the Order of the Ministry of Health of Russian Federation dated 06.06.2013 No. 388n “On the Approval of the Procedure for the Provision of Emergency Care, Including Specialized Medical Care”.

Medical Care for Children with Cancer in the Donetsk People’s Republic: Results of an Ecological Study in 2014–2017

2018 ◽  
Vol 5 (3) ◽  
pp. 145-154
Author(s):  
M. Yu. Rykov ◽  
I. N. Inozemtsev ◽  
S. A. Kolomenskaya
Keyword(s):  
Medical Care ◽  
Pediatric Patient ◽  
Ecological Study ◽  
Medical Service ◽  
Care Delivery ◽  
Benign Tumors ◽  
High Tech ◽  
Malignant Neoplasms ◽  
Children With Cancer ◽  
Patient Capacity

Background.Analysis of medical care delivery for children with cancer in armed conflict is highly important because the high-tech treatment in this context is extraordinary difficult and challenging task. Objective. Our aim was to analyze the morbidity and mortality rates in children with malignant tumors, to assess the pediatric patient capacity and medical service density in the Donetsk People’s Republic.Methods.The ecological study was conducted where the units of analysis were represented by the aggregated data of the Republican Cancer Registry on the number of primary and secondary patients with malignant and benign tumors, the deceased patients in the DNR in 2014–2017, pediatric patient capacity, and medical service density.Results.The number of pediatric patient capacity for children with cancer was 10 (0.27 per 10,000 children aged 0–17), pediatric patient capacity for children with hematological disorders — 40 (1.37 per 10,000 children aged 0–17). The treatment of children with cancer was performed by 5 healthcare providers: 1 pediatric oncologist (0.02 per 10,000 children aged 0–17), 3 hematologists (0.08 per 10,000 pediatric population aged 0–17), and 1 practitioner who did not have a specialist certificate in oncology. Morbidity rate for malignant neoplasms from 2014 to 2017 decreased by 25% (in 2014 — 9.6 per 10,000 children aged 0–17; in 2017 — 7.2). In the morbidity structure, the incidence proportion of hemoblastoses was 68.4%, brain tumors — 2.6%, other solid tumors — 29%. The death rate due to malignant neoplasms decreased by 37% (in 2014 — 2.7; in 2017 — 1.7).Conclusion.Low levels of the incidence rate and pattern of morbidity indicate defects in the identification and recording of patients. This explains the performance of the bed: low average bed occupancy per year and low turnover. For a reliable analysis of mortality statistical data is not available: in 2014–2015 only the number of in-hospital deceased patients is presented. Limited data is due to the lack of reliable patient catamnesis which is explained by the high rate of population migration. 

Medical Care for a Mass Gathering: The Suwa Onbashira Festival

2007 ◽  
Vol 22 (5) ◽  
pp. 431-435 ◽  
Author(s):  
Kazuyuki Yazawa ◽  
Yukihiro Kamijo ◽  
Ryuichi Sakai ◽  
Masahiko Ohashi ◽  
Mafumi Owa
Keyword(s):  
Medical Care ◽  
Medical Records ◽  
Medical Service ◽  
Medical Problems ◽  
Medical Care System ◽  
Mass Gatherings ◽  
Emergency Medical ◽  
Cervical Spine Fractures ◽  
First Time ◽  
Care System

AbstractIntroduction:The Suwa Onbashira Festival is held every six years and draws approximately one million spectators from across Japan. Men ride the Onbashira pillars (logs) down steep slopes.At each festival, several people are crushed under the heavy log. During the 2004 festival, for the first time, a medical care system that coordinated a medical team, an emergency medical service, related agencies, and local hospitals was constructed.Objective:The aims of this study were to characterize the spectrum of injuries and illness and to evaluate the medical care system of this festival.Methods:The festival was held 02 April–10 May 2004. The medical records of all of the patients who presented to an on-site medical tent or who were treated at the scene and transported to hospitals over a 12-day period were reviewed.The following items were evaluated: (1) the emergency medical system at the festival; (2) the environmental circumstances; and (3) patient data.Results:All medical usage rates are reported as patients per 10,000 attendees (PPTT). A total 1.8 million spectators attended the festival during the 12-day study period; a total of 237 patients presented to the medical tent (1.32 PPTT), and 63 (27%) were transferred to hospitals (0.35 PPTT). Of the total, 135 (57%) suffered from trauma—two were severely injured with pelvic and cervical spine fractures; and 102 (43%) had medical problems including heat-related illness.Conclusions:Comprehensive medical care is essential for similar mass gatherings. The appropriate triage of patients can lead to efficient medical coverage.

Knowledge-Based System supported by Chatbot to assist the Risk Classification Process of Patients in Hospital Emergency care (Preprint)

2021 ◽  
Author(s):  
Marciane Mueller ◽  
Rejane Frozza ◽  
Liane Mählmann Kipper ◽  
Ana Carolina Kessler
Keyword(s):  
Medical Care ◽  
Knowledge Base ◽  
Language Processing ◽  
Emergency Care ◽  
Risk Classification ◽  
Conversational Agent ◽  
Conversational Agents ◽  
Hospital Emergency ◽  
Knowledge Based System ◽  
Knowledge Based

BACKGROUND This article presents the modeling and development of a Knowledge Based System, supported by the use of a virtual conversational agent called Dóris. Using natural language processing resources, Dóris collects the clinical data of patients in care in the context of urgency and hospital emergency. OBJECTIVE The main objective is to validate the use of virtual conversational agents to properly and accurately collect the data necessary to perform the evaluation flowcharts used to classify the degree of urgency of patients and determine the priority for medical care. METHODS The agent's knowledge base was modeled using the rules provided for in the evaluation flowcharts comprised by the Manchester Triage System. It also allows the establishment of a simple, objective and complete communication, through dialogues to assess signs and symptoms that obey the criteria established by a standardized, validated and internationally recognized system. RESULTS Thus, in addition to verifying the applicability of Artificial Intelligence techniques in a complex domain of health care, a tool is presented that helps not only in the perspective of improving organizational processes, but also in improving human relationships, bringing professionals and patients closer. The system's knowledge base was modeled on the IBM Watson platform. CONCLUSIONS The results obtained from simulations carried out by the human specialist allowed us to verify that a knowledge-based system supported by a virtual conversational agent is feasible for the domain of risk classification and priority determination of medical care for patients in the context of emergency care and hospital emergency.

COMMITTEE ON ACCIDENT PREVENTION

PEDIATRICS ◽  
1957 ◽  
Vol 20 (3) ◽  
pp. 565-566
Author(s):  
Keyword(s):  
Emergency Care ◽  
Surgical Care ◽  
Electrical Energy ◽  
Civil Defense ◽  
Accident Prevention ◽  
Skeletal Trauma ◽  
Leg Injuries ◽  
Arm Injuries ◽  
Cervical Injuries ◽  
Open Injuries

The Committee on Accident Prevention of the American Academy of Pediatrics, in co-operation with the Surgical Section of the same organization, has prepared the following statements to cover the emergency management of childhood skeletal trauma and burns. Both of these statements are endorsed by the Committee on Trauma of the American College of Surgeons and have been approved by the Federal Civil Defense Administration. EMERGENCY CARE OF CHILDHOOD SKELETAL TRAUMA 1. Evaluate and splint where they lie before moving. Do not attempt reduction. 2. Move cervical injuries face up on a rigid support with manual traction applied gently by cupping chin at the time of moving. Sand bags on either side of neck to prevent turning, if possible. 3. Spine injuries should not be flexed in transportation. 4. Lower leg injuries, transport in pillow strapped with belt. 5. Upper leg injuries, transport with both legs and trunk bound to board without circulatory interference. 6. Lower arm injuries, transport with splint such as rolled newspaper, gentle compression wrapping and sling. 7. Upper arm can be bound to chest with lower arm supporting in sling. 8. Open injuries or open wounds, cover with sterile dressing, do not dust with antibiotic, but systemic antibiotic is useful. Do not attempt to retract bone back under skin. Get to surgical care promptly. 9. Do not cover distal tips of extremities if it can be avoided thus allowing a circulation check to be made from time to time. EMERGENCY CARE OF BURNS 1. Burns are due to thermal agents (scalds or fire); chemical agents (battery acid or lye); radiation (sunburn or nuclear); and electrical energy.

How Much does Improved Medical Service Affect Infant Mortality?

PEDIATRICS ◽  
1972 ◽  
Vol 49 (4) ◽  
pp. 638-638
Author(s):  
Arnold Gilbert
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Community Health ◽  
Medical Service ◽  
Health Programs ◽  
Community Health Programs ◽  
Delivery Of Medical Care

The meaning of the article by Dr. Chabot in Pediatrics, June 1971 concerning improved infant mortality between 1964 and 1968 in Denver puzzled me. I wonder whether there is any relation between the improved community health programs described and the happy results presented. Surely, many factors other than medical care affect infant mortality. For example, I wonder whether the author would suggest that the startling (to me) rise in infant mortality noted in Table II for Boston, Buffalo, Phoenix, Pittsburgh and Seattle, resulted from poorer delivery of medical care.

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