Emergency Medical Care Delivery to Victims of Road Accidents on Federal Highway M-8 Kholmogory in Arkhangelsk Region

2020 ◽  
pp. 42-46
Author(s):  
S.F. Goncharov ◽  
◽  
B.V. Baranov ◽  
◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Care Delivery ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Arkhangelsk Region ◽  
Emergency Medical ◽  
Federal Highway

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).

After Hurricane Andrew: An EMS Perspective

1993 ◽  
Vol 8 (2) ◽  
pp. 169-171 ◽  
Author(s):  
William P. Johnson ◽  
Charles V. Lanza
Keyword(s):  
Medical Care ◽  
Delivery System ◽  
Care Delivery ◽  
Emergency Medical Care ◽  
Hurricane Andrew ◽  
Emergency Medical

This manuscript serves as a brief overview of the prehospital and emergency medical care delivery system in the area devastated by Hurricane Andrew. There is unlimited information available from the hundreds of workers, both paid and volunteer, as well as, the residents and victims of the hurricane.

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 Work of Scientific and Practical Centre for Emergency Medical Care of Moscow City Health Department in Context of COVID-19 Pandemic

2020 ◽  
pp. 13-15
Author(s):  
S.A. Gumenyuk ◽  
◽  
A.M. Shchikota ◽  
V.I. Vechorko ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Health Department ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Department Of Health ◽  
Emergency Medical ◽  
Moscow City ◽  
The City

The activity is analyzed of specialists of the Scientific and practical centre for emergency medical care (CEMP) of Department of health of the city of Moscow (DZM) in the context of the COVID-19 pandemic. The structure of trips of CEMP teams in the fight against COVID-19 from March 1 to July 1, 2020 is presented. It is noted that although all the structures under the jurisdiction of the DZM, starting from March 2020, are working on high alert in connection with the threat of the spread of coronavirus, CEMP specialists continue to work on providing emergency medical care (EMP) and medical evacuation of victims of road accidents and other emergencies, as well as emergency somatic patients with various nosologies.

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.

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