scholarly journals Organization of First Aid in the Arkhangelsk Region

2020 ◽  
Vol 9 (2) ◽  
pp. 259-263
Author(s):  
A. V. Baranov
Keyword(s):  
Traffic Accidents ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Statistical Significance ◽  
Fold Increase ◽  
First Aid ◽  
Disaster Medicine ◽  
Emergency Situations ◽  
Arkhangelsk Region ◽  
Federal Highway

Background The development and implementation of widespread training for rules, techniques and methods of providing first aid to the widest possible range of people will significantly reduce the level of disability and mortality among victims of road traffic accidents (RTAs).Aim of study To study the organization of first aid for the victims in the Arkhangelsk region.Material and methods Part 1. The journals of registration of attendance at classes with a trained contingent in the educational-methodical department of the School of Disaster Medicine of the Territorial Center for Disaster Medicine of the Arkhangelsk Region for the period from 01.01.2012 to 12.31.2018 are analyzed. Part 2. We selected 906 medical records of patients (003/u) affected by an accident on the federal highway M-8 “Kholmogory” and treated in hospitals of Arkhangelsk region, admitted acutely in period from 01.01.2012 till 31.12.2018. The study was conducted according to the criteria of retrospective continuous documentary observation. As a criterion of statistical significance, the probability of a random error of less than 5% (p<0.05) was applied using the correction for multiple comparisons (Bonferroni correction).Conclusion 1. The educational activities of the TCDH of the Arkhangelsk Region over a seven-year period are characterized by a significant increase in the total number of trained cadets (p<0.001); 2-fold increase in the number of trained motor vehicle drivers (p<0.001) and employees of Ministry of Emergency Situations and Russian Interior Ministry (p<0.001). 2. The first aid to injured in an accident on the federal highway M-8 Kholmogory in the Arkhangelsk Region was provided in 65 cases (7.2%); in almost 90% of cases, first aid was recorded in the Arkhangelsk and Severodvinsk medical districts of the Arkhangelsk region (p<0.001).

scholarly journals Results of providing specialized medical care to victims in road traffic accidents on Federal highway M-8 “Kholmogory” in the Arkhangelsk region

2020 ◽  
pp. 35-41
Author(s):  
S. F. Goncharov ◽  
A. V. Baranov
Keyword(s):  
Hospital Mortality ◽  
Medical Care ◽  
High Speed ◽  
Traffic Accidents ◽  
Road Traffic ◽  
High Energy ◽  
Road Traffic Accidents ◽  
Average Hospital ◽  
Arkhangelsk Region ◽  
Federal Highway

Relevance. Currently, there is a general increase in the severity of injuries due to the dominance of high-energy multiple and concomitant injuries, especially on high-speed federal highways.Intention: To evaluate specialized medical care and hospital mortality in victims of road traffic accidents on the Federal Highway M-8 “Kholmogory” in the Arkhangelsk Region.Methodology. We selected 906 case histories of patients (form 003/y) injured in accidents on the federal highway M-8 “Kholmogory” and urgently admitted to hospitals of the Arkhangelsk region in 2012 - 2018. Registration forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at p < 0.05 with correction for multiple comparisons (Bonferroni).Results and Discussion. In the healthcare organizations of the Arkhangelsk region, patients with polytrauma received surgical treatment, with percentage of selective and urgent surgeries, average hospital bed days and time in intensive care units significantly higher (p = 0.001) compared to other patients, while isolated injuries were more often (p = 0.001) treated non-sur-gically. Hospital mortality was 6.0%, deceased patients were significantly older (p = 0.015), and pedestrians comprised half of them (p <0.001). Polytrauma was a cause of all deaths, with average severity of 38 points by the ISS severity scale [22; 48] (p = 0.001); more than a half died 1 day after an accident (p = 0.001).Conclusions. One of the possible ways to improve the medical care to victims of road traffic accidents on the federal highways at all stages of medical evacuation is to develop, scientifically justify and implement a systemic register of the health consequences of road traffic injuries in the practice of public health in the regions of Russian Federation.

scholarly journals Organization of the provision of specialized medical care to injured in road accidents on the federal highway M-8 «Kholmogory» in the Arkhangelsk region during the hospital period

2021 ◽  
pp. 18-25
Author(s):  
A. V. Baranov ◽  
S. F. Goncharov ◽  
E. A. Mordovsky ◽  
A. S. Samoylov
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Road Traffic Injuries ◽  
Arkhangelsk Region ◽  
Global Pandemic ◽  
Federal Highway

Relevance. Road traffic injuries are a global pandemic and one of the leading causes of death in the population. Federal highway M-8 “Kholmogory” is the leading transport artery of the European North of the country; has pronounced features inherent in all northern roads: significant distances between settlements and difficult road conditions, which together increase the risk of road traffic accidents (RTA) with medical consequences, and also seriously complicate the process of providing medical care to injured.Intention. To analize provision of specialized medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period and propose improvements.Methodology. Domestic and foreign publications on the organizational approaches to the provision of specialized medical care to injured in road traffic accidents during the hospital period were analyzed based on specialized scientific search engines (eLibrary, PubMed, Scopus).Results and Discussion. Problems in the organization of medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period were identified and systematized. The ways of its improvement are outlined.Conclusion. Implementation of the measures proposed will reduce medical and sanitary consequences, concomitant road traffic injuries on the federal highway, including disability and mortality in the medium and long term.

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 Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

2020 ◽  
pp. 5-9
Author(s):  
A. V. Baranov ◽  
Yu. E. Barachevsky
Keyword(s):  
Medical Care ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Time Factor ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Arkhangelsk Region ◽  
Emergency Medical ◽  
Federal Highway

Relevance. Road traffic injuries, having the nature of a global epidemic, pose an urgent medical and social problem. Among victims of road traffic accidents, mortality is many times higher than that of victims who were injured under other circumstances. The survival of victims in road accidents depends on the timeliness, quality and capacity of emergency medical care, on the competence of care providers and on the effectiveness of the organization of this type of medical care at the prehospital stage.Intention – to estimate the time of providing emergency medical care for victims on the federal highway M-8 “Kholmogory” on the territory of the Arkhangelsk region.Methodology. The material of the study was a sample of 906 medical records (form 003/y) for victims of the road accidents, who were admitted to hospitals of Arkhangelsk region in the period from 01.01.2012 to 31.12.2018. Registered forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at level of p < 0.05 as adjusted for multiple comparisons (Bonferroni correction).Results and Discussion. Time factor of emergency medical care on the federal highway M-8 “Kholmogory” in 3 medical districts of the Arkhangelsk region was characterized. The ambulance teams arrived at the place of accident within 20 minutes in 30 (3.3 %) cases, from 21 to 40 minutes – in 345 (38.1 %) cases, from 41 to 60 minutes – in 299 (33 %) cases and over a period of more than 1 hour – in 232 (25.6 %) cases. There was no statistically significant difference in time of providing emergency medical care for victims with isolated, multiple and concomitant traumas.Conclusion. It was shown that in 74.4 % of cases (p < 0.001) ambulance arrived at the site of a road accident earlier than 60 minutes. The largest number of cases of providing emergency medical care exceeding 60 minutes was noted in the Arkhangelsk Medical District – 28.4 % (p < 0.013), and the lowest –in the Severodvinsk Medical District – 18.3 %. In more than a quarter (26 %) of cases the emergency medical care was provided for victims with polytrauma beyond the 60 minutes period, with most of them in the Arkhangelsk Medical District (p = 0.004).

scholarly journals Peno-scrotal degloving injury following motor vehicle accident—a case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Aabishkar Bhattarai ◽  
Niraj Thapa ◽  
Bijaya Karki ◽  
Alok Atreya
Keyword(s):  
Traffic Accidents ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Road Traffic ◽  
Sexual Assaults ◽  
Scrotal Skin ◽  
Voiding Function ◽  
Vehicle Accident ◽  
Degloving Injury ◽  
Male Genital

Abstract Male genital injuries in the form of avulsed laceration of penis and scrotum are less frequent injuries in urological practice. The cases that occur are mostly caused by road traffic accidents, animal attacks, machinery-related accidents and physical/sexual assaults. Here, we report a case of a 28-year-old male with avulsion and traumatic degloving of the penile and scrotal skin with the exposure of the cavernous and spongy penile body, bilateral testes and total amputation of scrotal skin secondary to motor vehicle accident from Nepal. The patient was managed by emergency surgical debridement and reconstruction of the avulsed penile skin and burial of testis in the medial thigh pockets with primary suturing and hemostasis of the amputated scrotal region, which healed with satisfactory esthetic results with normal voiding function and erection of penis.

scholarly journals Selection and assessment of the relevant data for reducing the number of red-light running

Transport ◽  
2016 ◽  
Vol 33 (1) ◽  
pp. 268-279
Author(s):  
Milan Vujanić ◽  
Dalibor Pešić ◽  
Boris Antić ◽  
Nenad Marković
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Statistical Significance ◽  
Red Light ◽  
Risk Indicator ◽  
Traffic Light ◽  
Anova Analysis ◽  
Red Light Running ◽  
The City ◽  
Selection And Assessment

Although traffic light controlled intersections separate, the traffic flows by time and space, road traffic accidents still occur, usually due to Red-Light Running (RLR). In order to define countermeasures to solve this problem, it is necessary to collect and analyze certain data that will indicate type of measures, which should be applied. In this paper, it was done on the example of one 3-leg and one 4-leg intersection where citizens provided information about frequent RLR to the City Administration of Belgrade (Serbia). The statistical significance of differences between the collected data was tested by ANOVA analysis and by PostHoc Tukey test, which showed that forecasting of second of RLR after red-light onset could effectively be conducted by Cubic distribution. In order to define the so-called RLR risk indicator for the intersection, the use of the Danger Degree (DD) indicator, that presents the rate between the number of dangerous situations caused by RLR and the total number of RLR, was proposed.

scholarly journals Delivery of First Aid to Victims in Road Transportation Accidents

2020 ◽  
Vol 9 (3) ◽  
pp. 417-421
Author(s):  
A. V. Baranov
Keyword(s):  
Traffic Accidents ◽  
Road Traffic ◽  
Human Life ◽  
First Aid ◽  
The State ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Road Transportation ◽  
Scientific Publications ◽  
Road Traffic Injuries

Relevance. Most of the victims of road accidents die prior to the arrival of medical staff, therefore, providing first aid to injured people in the first minutes after receiving injuries is very important for saving human life and health. Timely and skillful provision of first aid to victims of road accidents prevents further deterioration of the state of the human body and can positively affect the entire process of its further treatment and rehabilitation.Aim of study. To characterize the delivery of first aid to victims of road traffic accidents at the present stage and to outline possible ways for its improvement.Material and methods. To achieve this goal, an analysis was made of the results of domestic and foreign scientific research and regulatory legal acts on the issue of providing first aid to victims of road accidents. The literature search was carried out in specialized scientific search engines eLibrary, PubMed, Scopus using the keywords: first aid, prehospital stage, road traffic injuries, road traffic accidents. For the analysis, scientific articles published between 1980 and 2020 were selected. Resources with outdated or inaccurate information were excluded, some scientific papers were found by links to articles. The state of the problem of providing first aid to victims of road traffic injuries, for the most part, reflects scientific publications over the past ten years.

scholarly journals Relationship between Road Traffic Accidents and Visual Status of Commercial Motor Vehicle Drivers in an Urban Area of Niger Delta Region of Nigeria

2019 ◽  
pp. 1-7
Author(s):  
G. F. Pepple ◽  
Chibuike Sydney Ejimadu
Keyword(s):  
Visual Field ◽  
Urban Area ◽  
Niger Delta ◽  
Visually Impaired ◽  
Traffic Accidents ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Visual Status ◽  
Commercial Motor Vehicle Drivers

Aim: To determine the relationship between visual status of commercial motor vehicle drivers and road traffic accidents (RTA) in an urban area of Niger Delta, Nigeria. Methods: Four hundred commercial vehicle drivers in the 10 major motor parks of Port Harcourt LGA were interviewed and examined in this study. A structured questionnaire on demographic characteristics, driving and ocular history was administered. Ocular examination included visual acuity, refraction, visual field, tonometry, colour vision test and ophthalmoscopy. The data collected was entered into computer using EPI-INFO statistical software for analysis. Ethical approval was obtained from relevant authorities.   Results: Seven drivers (1.8%) out of 400 drivers examined were visually impaired. There were 14 cases (3.5%) of monocular blindness. Eighteen (4.5%) were colour blind (p>0.05) while 16 (4%) had visual field defects (p>0.05). One hundred and eighty two (45.5%) drivers had been involved in RTA, out of which 2 drivers (1.1%) were visually impaired (p>0.05). Cataract found in 37 cases was the leading cause of visual impairment (42.8%). Other common ocular problems were pterygium (26.7%), presbyopia (22.9%), glaucoma (11.5%), and refractive error (8.4%).There was no statistical significant association between the ocular findings and RTA Conclusion: Only a few of those involved in RTA were actually visually impaired. Therefore, other factors may have been responsible for the majority of the cases of the RTAs in this study necessitating the need for more research.

scholarly journals Оrganizational aspects of primary health care for personal skeleton damage caused by road traffic accidents

2021 ◽  
Vol 22 (3) ◽  
pp. 12-18
Author(s):  
V. V. Masljakov ◽  
O. N. Pavlova ◽  
A. V. Pimenov ◽  
A. G. Proshin ◽  
A. V. Poljako ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
First Aid ◽  
Road Accidents ◽  
Facial Skeleton ◽  
Primary Health ◽  
Open Injuries

The purpose of the study. Study the organizational aspects of providing primary health care for victims with the facial department of the skeleton as a result of traffic accidents. Materials and methods. To achieve this goal, a retrospective study was conducted. The work included victims of road accidents with damage to the facial part of the skull between the ages of 18 and 70 years. In total, 150 victims were included in the study between 2000 and 2019. Results of the study and their analysis. The study shows that injuries to the facial skeleton as a result of traffic accidents are relevant. As a result of the study, it was found that as a result of an accident, there is approximately the same number of closed and open injuries. At the same time, open injuries, which could be regarded as medium and severe, were identified in 45 (30%) cases. In addition, data analysis showed that in 30,7% of observations, first aid was provided by random witnesses and/ or relatives of victims who did not have the skills and necessary knowledge to provide such assistance. In addition, an additional 19,3 per cent of first aid was provided by staff of various services who have some knowledge and skills in first aid. This is due to the fact that in the first group, first aid was provided faster than in the second group. The lack of the necessary skills to provide first aid to victims with such an injury can be explained by the rather high percentage of errors, which in the first group amounted to 18,7%, while employees of various services showed good results in providing such assistance and errors were not noted. Key words: primary health care, damage to the facial skeleton, traffic accident.

The Role of Placental Locations on Fetus Mortality in Road Traffic Accidents

2012 ◽  
Author(s):  
Moustafa Moustafa ◽  
B. Serpil Acar ◽  
Memis Acar
Keyword(s):  
Traffic Accidents ◽  
Placental Abruption ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Fetal Loss ◽  
Road Traffic Accidents ◽  
Vehicle Accidents ◽  
Frontal Impacts ◽  
Multi Body

The aim of this study is to investigate the possible role of placental location on the risk of placental abruption in road traffic accidents involving a pregnant driver. Placental abruption accounts for around 50–70% of fetal deaths in motor vehicle accidents. The computational pregnant occupant model, ‘Expecting’, which has a multi-body fetus and a finite element uterus model was developed at Loughborough University and is used in this investigation. The placenta is located in the upper region of the uterus near the fundus in ‘Expecting’. Four locations for the placenta; anterior, posterior, lateral left, lateral right cases are modelled and used in simulations in this study. These models are used to simulate a range of frontal impacts of severity 15 kph and 30 kph. Three cases of occupant restraint: three-point seatbelt with an airbag, three-point seatbelt only and airbag only conditions are investigated. The maximum strains developed in the uterus and utero-placental interface (UPI) have been estimated and compared for these scenarios in order to investigate placental abruption that leads to fetal loss. Placenta located at anterior position is found to be at higher risk than other positions considered.

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