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 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 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 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.

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 MATHEMATICAL SIMULATION OF THE CORRELATION BETWEEN THE FREQUENCY OF ROAD TRAFFIC ACCIDENTS AND DRIVING EXPERIENCE

Transport ◽  
2010 ◽  
Vol 25 (3) ◽  
pp. 237-243 ◽  
Author(s):  
Paulius Miškinis ◽  
Vaida Valuntaitė
Keyword(s):  
Mathematical Model ◽  
Statistical Analysis ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Driving Experience ◽  
The Mathematical Model ◽  
The Eu

Based on statistical analysis indicating the dependence of the number of road traffic accidents on driving experience, a mathematical model of such correlation is offered. The mathematical model has been tested generating a new approximation using the eigenfunctions of the introduced model applied to draw long‐term forecasts for the dependence of the number of potential road accidents on driving experience. Since we have more road traffic accidents per one hundred thousand inhabitants than other EU countries, comprehensive data analysis might also be useful for the EU community.

scholarly journals Epidemiology of Road Traffic Accidents and Injuries in Nigeria: A Protocol for Systematic Review and Meta-analysis

2021 ◽  
Author(s):  
Samuel Osobuchi Ngene ◽  
Olatoun Adefunke Adeola ◽  
Chi-kadibia T Ukoma ◽  
Augustine Nwakuche Duru ◽  
Kayode Olaoluwa Olaniyan ◽  
...  
Keyword(s):  
Systematic Review ◽  
Standard Error ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Cochrane Library ◽  
Economic Losses ◽  
Road Traffic Accidents ◽  
Road Traffic Injuries ◽  
Pooled Prevalence ◽  
Registration Number

Abstract Background: About 1.35 million people die annually worldwide due to road traffic accidents. Road traffic injuries cause considerable economic losses to individuals, their families, and to nations as a whole. About 93% of the world's fatalities on the roads occur in low-and middle-income countries, even though these countries have approximately 60% of the world's vehicles. Road Traffic Accidents constitute the third leading cause of trauma related deaths in Nigeria. It is a substantial public health problem that deserves a systematic review.Methods and Analysis: We developed a search strategy using MeSH, text words and entry terms. Nine databases will be searched, including PubMed, African Journal Online, Embase, Google Scholar, Scopus, Cochrane Library, CINAHL, Web of Science and ResearchGate. Only observational studies, retrievable in the English language will be included. The primary outcome is prevalence of road traffic injuries in Nigeria. The secondary outcomes include proportion of road traffic accidents in Nigeria, patterns, predictors and consequences of road traffic accidents in Nigeria. Identified studies will be screened and selected based on inclusion criteria using Rayyan QCRI screening tool, by independent reviewers with dual blinding. Data items will be extracted into predefined forms in Microsoft Excel before exporting to CMA version 3 for analysis. Every selected study will have their NIH quality scores and Cochrane risk of bias reported. Studies will be assessed for methodological and statistical heterogeneity. Publication bias will be assessed using Funnel Plots and test of asymmetry. Results will include forest plots, pooled prevalence with standard error, variance, relative weights assigned to studies and heterogeneity test. Further analysis will include subgroup analysis and meta-regression using both categorical and quantitative variables.Discussion: This protocol will enable a transparent, accurate and reliable method for determining pooled prevalence, standard error and 95% CI of road traffic injuries in Nigeria. Patterns and outcomes of RTA in Nigeria will also be assessed. Evidence generated by this protocol will likely inform policy on prevention of RTA in NigeriaTrial Registration Number: This protocol is registered with PROSPERO, with registration number CRD42021226956.

scholarly journals Traumatic and Nontraumatic Driving Accidents Due to Dry Spells in Northern Iran: A Time Series Analysis

2018 ◽  
Vol 10 (4) ◽  
pp. 723-730
Author(s):  
Enayatollah Homaie Rad ◽  
Shahrokh Yousefzadeh-Chabok ◽  
Zahra Mohtasham-Amiri ◽  
Naeima Khodadadi-Hasankiadeh ◽  
Ali Davoudi-Kiakalayeh ◽  
...  
Keyword(s):  
Time Series ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Road Traffic Accidents ◽  
Road Accidents ◽  
Dry Period ◽  
The Caspian Sea ◽  
Northern Iran ◽  
Dry Spells ◽  
Dry Spell

Abstract Driving in rain is very dangerous, and drivers seem not to drive properly whenever it rains. In such situations, the risk of driving increases on rainy days, especially after a prolonged dry period. This would be a problem for drivers steering on slippery roads. In this study, the effect of dry spells on road traffic accidents and resulting mortality in Rasht, Iran, located in the southern margin of the Caspian Sea, in a 3-yr period from 21 March 2014 to 19 March 2017 was examined using time series patterns. The results of the study showed that the first day after a dry spell had the greatest impact on road accidents and resulting injuries and deaths. It was also found that with increased length of a dry spell, the risk of accidents and related deaths and injuries rises.

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