scholarly journals Foreign and national experience in organizing tertiary medical care for injured in road accidents

2019 ◽  
Vol 100 (3) ◽  
pp. 464-468
Author(s):  
D A Bugayev
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Severe Injuries ◽  
The Russian Federation ◽  
The Creation

As a result of road accidents in the Russian Federation, up to 30 thousand people are killed every year, which causes significant demographic and socio-economic damage to the state. The World Health Organization considers road traffic injuries as one of the global problems associated with 1.25 million deaths. In many countries, the leading direction of development of medical care for victims of road traffic accidents is the creation of trauma systems. The main volume of medical care for victims of road traffic accidents and those with severe injuries under other circumstances is provided by trauma centers of the 2nd and 1st levels. The implementation of the federal targeted programs «Improving road safety in 2006-2012» allowed the creation of a network of trauma centers in a number of subjects of the Russian Federation, whose work reduced mortality and disability among victims with severe injuries, but the problem cannot be considered solved because there are no national database of the victims of road accidents (register), system for assessing the severity of injuries and recording long-term results of non-fatal injuries, which excludes the possibility to compare the clinical effectiveness of the Russian trauma centers among themselves and with foreign counterparts.

scholarly journals Road Transportation Injuries on the Federal Highway in the Region with a Low Population Density: Relevance of the Problem and Ways of its Solution

2021 ◽  
pp. 25-28
Author(s):  
A.V. Baranov ◽  
◽  
E.A. Mordovsky ◽  
A.S. Samoylov ◽  
◽  
...  
Keyword(s):  
Population Density ◽  
Medical Care ◽  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Arkhangelsk Region ◽  
Federal Highway ◽  
The Russian Federation

The purpose of the study is to use the example of the Arkhangelsk region to identify conditions affecting the organization of medical care for victims of road accidents on the federal highway in a region with a low population density, and to determine the main directions of its improvement. Materials and research methods. Using the method of comparative analysis, the following review was carried out: review of the authors’ studies, the subject of which was the features of road traffic injuries on the federal highway M-8 «Kholmogory» within the Arkhangelsk region; review of domestic and foreign scientific research, review of regulatory documents on the provision of medical assistance to victims of road accidents. Scientific literature search was performed in eLibrary, PubMed, Scopus systems by keywords. Scientific articles published in 1990–2020 were selected for analysis. Using the method of an organizational experiment, a scientific substantiation of a set of measures to improve the efficiency of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents at federal highway in regions of the Russian Federation with a low population density was carried out. Applying the method of system analysis, on the basis of the results of this study, conceptual provisions for a systemic register of health consequences of road accidents in the Russian Federation have been developed and scientifically substantiated. Research results and their analysis. The article describes road traffic injuries on the federal highway M-8 «Kholmogory» in the Arkhangelsk region. The factors that determine the effectiveness of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents are considered. The ways of improving the provision of medical care to victims of road traffic accidents at federal highway in a region with a low population density are formulated and substantiated.

scholarly journals Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

2021 ◽  
pp. 65-67
Author(s):  
V.V. Maslyakov ◽  
◽  
Yu.E. Barachevsky ◽  
O.N. Pavlova ◽  
A.V. Pimenov ◽  
...  
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
The Body ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Facial Skeleton ◽  
Emergency Medical

The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

scholarly journals On the expediency to organize monitoring of the medical and sanitary consequences of road traffic accidents

2021 ◽  
pp. 31-39
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov ◽  
E. A. Mordovsky
Keyword(s):  
Medical Care ◽  
Information Exchange ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Social Consequences ◽  
Economic Losses ◽  
Trauma Centers ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Health Consequences

Relevance. Road traffic accidents are a source of significant medical, demographic, social and economic losses. To reduce the volume of medical and sanitary consequences of road accidents, to achieve the targets of the national project “Safe and High-Quality Roads”, it is necessary to further improve the technologies for providing medical care to victims of road accidents at all stages, including their adaptation to the regional characteristics of road traffic traumatism, and the mechanism of interaction between medical organizations performing the functions of trauma centers. This task can be solved provided that a system of information exchange between trauma centers is created, as well as the organization of monitoring of health consequences in road accidents on its basis. To accumulate and analyze information, a polynosological register, a type of distributed database, is to be used.Intention – to substantiate the expediency to organize monitoring of the health consequences of road traffic accidents.Methodology. Regulatory documents were reviewed as well as results of Russian and foreign scientific research of organizational approaches to the provision of specialized medical care to victims of road accidents at the hospital stage, and also algorithms of introducing information technologies into the activities of medical organizations. The search for sources was performed in specialized scientific search systems (eLibrary, National Library of Medicine – PubMed, Scopus etc.).Results and Discussion. The organization of monitoring of the medical and social consequences of road traffic accidents at the level of the territories of the Russian Federation has been substantiated (including its purpose, tasks, coordinators and implementers). The directions of using the monitoring results were determined.Conclusion. Monitoring of medical and social consequences of road traffic accidents will provide a reliable assessment of their scope in the regions of the country. Besides, health authorities will get reliable information to develop effective measures for reducing medical, demographic, social and economic losses associated with road traffic accidents.

ANALYSIS OF THE CONDITIONS OF THE SECONDARY ROAD TRAFFIC ACCIDENTS

2020 ◽  
pp. 27-30
Author(s):  
П.В. Ляхов
Keyword(s):  
Russian Federation ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Statistical Data ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
The Russian Federation ◽  
Definition Of

В статье представлено авторское определение понятия «вторичное дорожно-транспортное происшествие». При- ведены основные статистические сведения о вторичных дорожно-транспортных происшествиях, произошедших в Российской Фе- дерации за 10 месяцев 2020 года. The article presents the author's definition of the concept «secondary traffic accident». The main statistical data on secondary road accidents that occurred in the Russian Federation for 10 months of 2020 are presented.

REDUCING ROAD TRAFFIC ACCIDENTS INVOLVING PEDESTRIANS

2015 ◽  
Vol 2 (2) ◽  
pp. 624-628
Author(s):  
Красаулина ◽  
N. Krasaulina ◽  
Алешина ◽  
I. Aleshina ◽  
Иванов ◽  
...  
Keyword(s):  
Russian Federation ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
The Russian Federation

The analysis of road accidents in the Russian Federation with the participation of pedestrians, actualized the need to establish a set to accompany the walking of the column, and it is represented by a set of testing

ABOUT ADDITIONAL INDICATORS ROAD TRAFFIC ACCIDENTS IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 29-34
Author(s):  
О.Н. Кузьмин ◽  
Е.В. Дедюлин
Keyword(s):  
Russian Federation ◽  
Road Safety ◽  
Road Network ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
The Russian Federation ◽  
Network Safety

В статье анализируется информативность основных показателей аварийности, возможные неверные представления о повышении безопасности дорожного движения при снижении количества ДТП, необходимость учета степени безопасности дорожной сети при выборе мер, направленных на повышение безопасности дорожного движения, а также комплесная оценка этих мер и степени безопасности дорожной сети. The article analyzes the informativeness of the main indicators of accidents, possible misconceptions about improving road safety while reducing the number of accidents, as well as the need to take into account the degree of road safety when choosing measures aimed at improving road safety, assessing such measures in combination with the degree of road network safety.

scholarly journals Problems of road traffic injuries and road traffic safety in Russia

2020 ◽  
pp. 27-34
Author(s):  
S. S. Aleksanin ◽  
S. V. Shport
Keyword(s):  
Russian Federation ◽  
Traffic Safety ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Alcohol Intoxication ◽  
Road Traffic Accidents ◽  
The Public ◽  
The Road ◽  
Road Traffic Safety ◽  
The Russian Federation

Relevance. The paper is devoted to problems of ensuring road traffic safety in Russia, which is the public task of great importance involving the implementation of the policy for protecting people's health, life, and property.Intention. To look for ways of optimizing and implementing the measures aimed at preventing the technogenic emergencies.Methodology. To analyze the indicators of road traffic accidents in the Russian Federation over five years as well as the federal laws in the field of road traffic safety.Results and Discussion. Risk factors of traffic accidents include: alcohol intoxication, speed limit exceeded, overtaking in the wrong place, driver talking, smoking while driving, driver fatigue. In the Russian Federation, there is a persistent downward trend in the number of accidents. In 2019, 164,358 traffic accidents (-2.2 %; all comparisons vs 2018) occurred, 16,981 (-6.8 %) persons died, 210,877 (-1.9 %) persons were injured. According to the Ministry of Internal Affairs, the number of accidents due violation of the Road Rules by drivers was 146,688 (-1 %); 14,420 (-5.7 %) persons died and 195,037 (-0.8 %) persons were injured. In 2019, road traffic accidents caused by drunk drivers tended to decrease (12,040; -3.5 %); 11,510 (-4 %) persons died and 160,725 (-0.4 %) persons were injured.Conclusion. Drivers' health is directly related to road traffic safety; health promotion would contribute to decreasing the number of road traffic accidents and traffic-related injuries.

scholarly journals High Mortality Rates from Road Traffic Accidents in the Russian Federation: Possible Causes and Ways to Overcome Challenges

2019 ◽  
Vol 17 (3) ◽  
pp. 192-205 ◽  
Author(s):  
A. V. Popov ◽  
U. M. Kaimakova ◽  
N. P. Stetsky
Keyword(s):  
Russian Federation ◽  
High Mortality ◽  
Traffic Accidents ◽  
Emergency Services ◽  
Road Traffic ◽  
Mortality Rates ◽  
World Health ◽  
Time Of Arrival ◽  
Road Traffic Accidents ◽  
The Russian Federation

Road traffic accidents cause enormous material and moral damage both to the society as a whole and to individual citizens. According to the data, the Russian Federation is among countries with highest road traffic mortality rates within European Region of the World Health Organization.The objective of the study was to attempt to identify possible causes of high mortality rates from traffic accidents on the roads of the Russian Federation and to reveal ways to reduce those rates.To that purpose a survey of citizens of the Russian Federation who are driver’s license owners and who are experienced drivers was conducted in different regions of the country. The results identified low medical literacy in terms of provision of first aid to the injured persons as one of the causes.Other factors, potentially capable to reduce the number of fatalities in road traffic accidents, once their performance indicators improve, have also been considered. Those indicators comprise time of arrival of ambulance crews at the site of an accident with enough medical equipment and medicines, interaction of emergency services, growth of efficiency of training in providing primary medical care at driving schools.

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