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 The dynamics of age structure of out-patient visits and calls of emergency medical care in population of small town during 2011-2015

2019 ◽  
Vol 61 (1) ◽  
pp. 17-22
Author(s):  
I. P. Artyukhov ◽  
F. V. Kapitonov ◽  
Vladimir F. Kapitonov
Keyword(s):  
Medical Care ◽  
Age Structure ◽  
Emergency Care ◽  
Small Town ◽  
Working Hours ◽  
Small Towns ◽  
Emergency Medical Care ◽  
Primary Medical Care ◽  
Emergency Medical ◽  
Care Support

The shortcomings offunctioning of ambulatory polyclinic service and overrated volume ofprovided emergency medical care became actual propblemin primary medical care support of population in small towns due to age structure of population. Purpose of study. To investigate dynamics of age structure of out-patient visits and calls of emergency care by population of small town in 2011-2015. The analysis of out-patient visits and calls emergency care in 2011-2015 demonstrated that during five years number of visits to polyclinic decreased up to 5.3% mainly (14%) at the expense of residents of able-bodied age while number ofpatients of junior and senior able-bodied age increased on 1.5% and 5.1% correspondingly. The analysis of calls of emergency medical care revealed shortcomings in organization of ambulatory polyclinic care: more than a half (70.4%) of all calls because of instant diseases and conditions falls on the period of working hours of polyclinic (from 8 to 20 h.) The occasion of call by population of junior able-bodied age in 68.7% became acute diseases of respiratory organs (acute respiratory viral infection - in 93.6%) and by patients of senior ablebodied age in 72.6% - exacerbation of chronic pathology (ischemic heart disease, hypertension disease). The correction of these calls could be implemented by ambulatory polyclinic service itself. The acquired data corresponds to publication data and indicates to existing problems of primary medical care support of rural population in various regions of the Russian Federation. The investigation of age structure of out-patient visits, calls of emergency medical care of data of sociological survey of respondents revealed shortcomings in organization of functioning of municipal polyclinic related to population of senior able-bodied age that result in increasing of volume of work implemented by teams of emergency care.

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 Alcohol intoxication: evaluation of the population appealability and emergency medical care in Kazan

2017 ◽  
Vol 98 (2) ◽  
pp. 243-247
Author(s):  
V L Paykov ◽  
E I Zamaleeva ◽  
D A Zhukov ◽  
O L Chernova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Alcohol Intoxication ◽  
Care Service ◽  
Medical Personnel ◽  
Urgent Care ◽  
Emergency Medical Care ◽  
Calendar Time ◽  
Emergency Medical ◽  
Medical Care Service

Aim. To study population appealability for emergency medical care with alcohol intoxication as well as the features of medical care service for them in Kazan at modern stage. Methods. The data from emergency call cards from 2015 with the diagnosis «alcohol intoxication» (form No.11/u) were studied. A survey of 271 responders (medical personnel of mobile teams of emergency care and admission departments of the hospitals) of medical care service for people with alcohol intoxication in the streets was performed. Results. In the structure of performed calls for adult popultion the ratio of patients who called an ambulance because of alcohol intoxication was 2.1% and because of the need for urgent care - 5.7%. Males were more prevalent than females: 82.1 and 17.9% respectively. Predominantly people younger than 60 years appealed: among males 82.7%, among females - 79%. Maximum appealability was registered in July (7.4 calls per 10 000 adults); during the week - on Saturday (11.9 per 10 000 adults), and during the day - during the period from 5 to 6 pm. The survey of the teams of ambulances and admission departments demonstrated the need for re-establishment of medical sobering-up stations (83.5 and 80% respectively) and more rarely the responders suggested development of specialized medical departments and active delivery of people with alcohol intoxication to specialized institutions involving law enforcement officials and personnel of specialized sobering-up stations (13 and 14.3% respectively). Conclusion. In the structure of the calls performed by emergency care stations the ratio of patients who called an ambulance because of alcohol intoxication among adults was 2.1% and because of the need for urgent care - 5.7%; the appealability was affected by sex, age and calendar time; analysis of the survey results demonstrated the need for re-establishment of recently closed medical sobering-up stations and for development of specialized medical departments.

scholarly journals Moscow ambulance station. From origin to modern times

2019 ◽  
Vol 2 (31) ◽  
pp. 5-10
Author(s):  
N. F. Plavunov ◽  
V. A. Kadyshev ◽  
A. M. Sidorov ◽  
A. N. Rozhenetskiy ◽  
L. F. Verkhoturova
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
100Th Anniversary ◽  
Medical Emergency ◽  
Time Of Arrival ◽  
Emergency Medical Care ◽  
Medical Sciences ◽  
Modern Times ◽  
Emergency Medical ◽  
Analysis Of Performance

This article is dedicated to the 100th anniversary of the establishment of the Ambulance and Medical Emergency Care Station n. a. A. S. Puchkov in Moscow. Alexander Sergeyevich Puchkov, Doctor of Medical Sciences, Honored Doctor of the RSFSR, steadily led her from 1923 to 1952. The data presented in the articles of Mr. Puchkov served as the basis for comparing indicators about the station’s activities during its formation and the modern ambulance and emergency medical services in Moscow. Some features, characteristics and conditions for the provision of emergency and emergency medical care in Moscow in the year 1926 are shown. So, for example, the number of brigades increased by 68.7 times (from 15 in 1926 to 1,031 in 2018). The average time of arrival of the brigade for an accident both in 1926 and in 2018 is 10–12 minutes long. The share of calls by ambulance teams to children under 15 years of age has also increased significantly. The analysis of performance over the years has made it possible to trace the development of the ambulance station from the time of its creation to the present day. The fundamental principles laid down by Alexander S. Puchkov remain in the ambulance work at the present time. Doctors and paramedics of ambulance and emergency medical care teams continue to promptly provide medical care to all those in need, guided by many provisions that were developed and implemented over 90 years ago.

scholarly journals Corona-Independent Excess Mortality Due to Reduced Use of Emergency Medical Care in the Corona Pandemic: A Population-Based Observational Study

2020 ◽  
Author(s):  
S. Kortüm ◽  
P. Frey ◽  
D. Becker ◽  
H.-J. Ott ◽  
H-P. Schlaudt
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Excess Mortality ◽  
Chronically Ill ◽  
Collateral Damage ◽  
Emergency Medical Care ◽  
Medical Assistance ◽  
Emergency Medical ◽  
Number Of Patients ◽  
Investigation Period

AbstractBackgroundA significant decrease in the number of cases of emergency medical care during the first phase of the Corona pandemic has been reported from various regions of the world. Due to the lack of or delayed use of medical assistance, particularly in the case of time-critical clinical pictures (myocardial infarction, stroke), a corona collateral damage syndrome is postulated regarding possible health consequences. The present study investigates changes in the use of preclinical and clinical emergency care and effects on overall mortality in a rural area.MethodsThe number of patients in the emergency department at the Klinikum Hochrhein and the ambulance service were retrospectively aggregated and analyzed regarding the total number and selected tracer diagnoses and alarm keywords. The investigation period was the 9th to 22nd calendar week 2020 compared to the identical period of the previous year. In addition, the death rates in the district were collected directly from the registries and related to the number of patients in emergency care.ResultsOverall, the number of patients in clinical and preclinical emergency care declined significantly during the investigation period. This concerned in particular emergency inpatient treatment of patients with exacerbations or complications of severe chronic diseases. At the same time, excess mortality occurred in April 2020, which was still highly significant even after excluding deaths on or with COVID-19.DiscussionOnly about 55 % of the excess mortality in April 2020 can be attributed to COVID-19 and is associated with the decline in inpatient emergency treatment, especially of chronically ill patients. Since a drift of patients with the use of other service providers is unlikely, we assume that fears of infection in overburdened hospitals, one-sided public communication and reporting, and the extent of contact restrictions have contributed significantly to the decline in case numbers and to excess mortality (collateral damage).ConclusionFor similar situations in the future, it is strongly recommended to make crisis communication and media coverage more balanced so as not to prevent people with acute health problems from receiving medical assistance. Contact restrictions should be critically reviewed and limited to the objectively necessary minimum.

Access to Emergency Medical Care

PEDIATRICS ◽  
1992 ◽  
Vol 90 (4) ◽  
pp. 648-648 ◽  
Author(s):  
Keyword(s):  
Medical Care ◽  
Emergency Care ◽  
Critical Time ◽  
The United States ◽  
Emergency Medical Technician ◽  
Emergency Medical Care ◽  
Care Needs ◽  
Emergency Medical ◽  
Children And Young Adolescents ◽  
American Children

More than 60 000 children seek emergency care each day in the United States. However, inequities in our present health care system often preclude the prompt and appropriate access to emergency care necessary to treat these infants, children, and young adolescents—hereafter referred to as children. Several important obstacles exist. (1) As of 1990, there were more than 12 million uninsured American children.1 (2) Many children are declared uninsurable because of chronic illnesses, disabling conditions, or other preexisting conditions. (3) Although emergency departments are required to evaluate all patients who seek care, it is well known that lack of insurance can serve as an obstacle to prompt access to, transport to, and treatment at appropriate-level emergency and critical care facilities. (4) There is not yet universal availability and appropriate use of the 911 access number.2 (5) The extent to which pediatrics is included in the educational and training content of paramedic and basic emergency medical technician programs has been shown to be less than adequate.3,4 (6) Finally, children have special needs, requiring services not always available in every hospital. Therefore, the obstacles to prompt access are magnified at a critical time for the child seeking emergency care. Several recent developments have increased the recognition and understanding of the unique emergency medical care needs of children.

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