scholarly journals Experience of Applying Telemedicine Technologies in the Work of Voronezh Regional Clinical Center for Disaster Medicine

2021 ◽  
pp. 17-22
Author(s):  
L.E. Mekhantieva ◽  
◽  
A.N. Artemov ◽  
V.P. Ilyichev ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Disaster Medicine ◽  
Trauma Centers ◽  
Road Accidents ◽  
Car Accidents ◽  
Clinical Center

The purpose of the study is to determine the role of telecommunication technologies in increasing the efficiency of Voronezh Regional Clinical Center for Disaster Medicine. Materials and methods of research. The data contained in analytical reports and other documentation of the Center for 2018-2020 in terms of identifying patterns of their change with the introduction of telecommunications technologies were analyzed. Results of the study and their analysis. Introduction of telemedicine technologies in the work of the Center resulted in increase of volume of rendering of medical care by its specialists. The neurosurgeons were the most demanded specialists, who performed telemedical consultations, which is mostly related to the necessity of performing consultations for the doctors of trauma centers of the II and III levels, engaged in treatment of victims of car accidents. Voronezh Regional Clinical Center for Disaster Medicine plans to further expand the use of telecommunication technologies not only in treating victims of road accidents, but also victims of other man-made and natural emergencies.

ROUTING OF VICTIMS OF ROAD ACCIDENTS IN THE VORONEZH REGION

2021 ◽  
pp. 140-144
Author(s):  
Людмила Евгеньевна Механтьева ◽  
Юрий Владимирович Струк ◽  
Татьяна Петровна Склярова ◽  
Ольга Алексеевна Якушева ◽  
Александр Николаевич Артёмов
Keyword(s):  
Disaster Medicine ◽  
Trauma Centers ◽  
Road Accidents ◽  
Craniocerebral Injuries ◽  
Clinical Center ◽  
Close Proximity ◽  
Voronezh Region ◽  
Adults And Children ◽  
The Subject ◽  
Complications And Mortality

Предметом публикации является анализ динамики количества дорожно-транспортных происшествий в Воронежской области в 2017-2019 гг. на аварийно-опасных участках автодорог. Отмечен рост числа дорожно-транспортных происшествий в 2019 г., что может быть обусловлено неблагоприятной метеорологической обстановкой. Приведены статистические показатели Воронежского областного клинического центра медицины катастроф, характеризующие структуру травм при дорожно-транспортных происшествиях среди взрослого и детского населения, а также наличие осложнений и летальность на этапах эвакуации. Наиболее высокая летальность среди пострадавших с множественной травмой наблюдалась в 2018 г., что связано с преобладанием черепно-мозговых травм в структуре травматизма. Приведены характеристики структурной организации, оснащенности и локализации травмоцентров первого, второго и третьего уровней, регламентирующие объем оказания медицинской помощи пострадавшим. Рассматриваются вопросы маршрутизации пациентов с автодорожной травмой в травмоцентры Воронежской области с учетом тяжести состояния, наличия осложнений и критериев транспортабельности. На основании полученных данных можно сделать вывод, что в травмоцентры второго уровня доставляется наибольшее количество всех пострадавших, что связано с непосредственной близостью их расположения от наиболее аварийно-опасных участков автодорог The subject of the publication is an analysis of the dynamics of the number of road accidents in the Voronezh region in 2017-2019 on accident-prone sections of roads. There was an increase in the number of road accidents in 2019, which may be due to the unfavorable meteorological situation. Statistical indicators of the Voronezh Regional Clinical Center for Disaster Medicine are presented, which characterize the structure of injuries in road accidents among adults and children, as well as the presence of complications and mortality at the stages of evacuation. The highest mortality rate among victims with multiple injuries was observed in 2018, which is associated with the predominance of craniocerebral injuries in the structure of injuries. The characteristics of the structural organization, equipment and localization of trauma centers of the first, second and third levels, regulating the scope of medical care for victims, are given. The issues of routing patients with road injuries to trauma centers in the Voronezh region are considered, taking into account the severity of the condition, the presence of complications and criteria for transportability. Based on the data obtained, it can be concluded that the largest number of all victims is delivered to the second-level trauma centers, which is due to the close proximity of their location to the most dangerous sections of roads

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 Routing of Medical Evacuation in System of Providing Emergency Medical Care to Patients and Victims in Emergency Situations in Stavropol Territory

2020 ◽  
pp. 70-73
Author(s):  
Eh.G. Kocharov ◽  
◽  
L.V. Porkhun ◽  
N.E. Klimova ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Road Safety ◽  
First Aid ◽  
Disaster Medicine ◽  
Practical Skills ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Trauma Centres ◽  
Medical Evacuation ◽  
Emergency Situations

The results of the implementation of the regional program "Improving road safety in the Stavropol territory" are presented. The organization of activity of 22 trauma centres in the Stavropol territory is considered. Schemes of delivery of victims of road accidents, principles and stages of successful routing in emergency situations are shown. The article analyzes the experience of the regional centre for disaster medicine in training various contingents in practical skills of first aid to victims with shock-inducing trauma.

Enhanced Brady-Tachy Heart Automotive (BT-Heartomotive) Device for Heart Rate Monitoring during Driving

2020 ◽  
Vol 17 (1) ◽  
pp. 7599-7606
Author(s):  
M. A. H. Mohd Adib ◽  
N. H. M. Hasni
Keyword(s):  
Heart Rate ◽  
Mobile Applications ◽  
Good Accuracy ◽  
Rate Measurement ◽  
Road Accidents ◽  
Heart Rate Monitoring ◽  
Physical Conditions ◽  
Car Accidents ◽  
Heart Rate Level ◽  
Main Components

Driving with brady-tachy syndrome is one of the main causes of car accidents. In order to prevent drivers from brady-tachy driving, there is a strong demand for driver monitoring systems. Other than problems in driving attitudes and skills, road accidents are also caused by uncontrollable factors such as medical conditions and drowsiness. These factors can be avoided by having early detection. Therefore, the brady-tachy heart automotive so-called BT-Heartomotive device is developed. This BT-Heartomotive device can detect early signs of drowsiness and health problems by measuring the heart rate of the drivers during driving. The device also could use the data to send an alert to the passengers that they’re in precaution. The device shows a good accuracy in the detection of the heart rate level. The device comprised three main components; wristband, monitor and integrated mobile applications. Heart rate measurement can reveal a lot about the physical conditions of an individual. The BT-Heartomotive device is simple, easy to use and automated.

The changing role of GP clinicians working in community hospitals.

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X696713
Author(s):  
David Seamark ◽  
Deborah Davidson ◽  
Helen Tucker ◽  
Angela Ellis-Paine ◽  
Jon Glasby
Keyword(s):  
Medical Care ◽  
Local Community ◽  
Community Hospital ◽  
Clinical Care ◽  
Hospital Setting ◽  
Community Hospitals ◽  
Recruitment Challenges ◽  
Acute Hospitals ◽  
Changing Role

BackgroundIn 2000 20% of UK GPs had admitting rights to community hospitals. In subsequent years the number of GPs engaged in community hospital clinical care has decreased.AimWhat models of medical care exist in English community hospitals today and what factors are driving changes?MethodInterviews with community hospital clinical staff conducted as part of a multimethod study of the community value of community hospitals.ResultsSeventeen interviews were conducted and two different models of medical care observed: GP led and Trust employed doctors. Factors driving changes were GP workload and recruitment challenges; increased medical acuity of patients admitted; fewer local patients being admitted; frustration over the move from ‘step-up’ care from the local community to ‘step-down’ care from acute hospitals; increased burden of GP medical support; inadequate remuneration; and GP admission rights removed due to bed closures or GP practices withdrawing from community hospital work.ConclusionMultiple factors have driven changes in the role of GP community hospital clinicians with a consequent loss of GP generalist skills in the community hospital setting. The NHS needs to develop a focused strategy if GPs are to remain engaged with community hospital care.

Preventive aspect of ayurveda and yoga towards newly emerging disease COVID-19

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ranjeet S. Sawant ◽  
Bharat D. Zinjurke ◽  
Sandeep V. Binorkar
Keyword(s):  
Public Health ◽  
Severe Acute Respiratory Syndrome ◽  
Medical Care ◽  
Supportive Therapy ◽  
Prophylactic Therapy ◽  
Current Line ◽  
Therapeutic Aspect ◽  
The Past

Abstract The ongoing coronavirus pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV 2) and unique in various facets. The earlier experience from the past severe acute respiratory syndrome (SARS) epidemics seem to be insufficient and there is need for better strategies in public health and medical care. Ayurved & Yog are well known for their preventive and therapeutic aspect, but not getting utilized properly for prevention of Covid 19 crisis which may also be helpful as supportive therapy along with current line of management. This paper is aimed at unrevealing the role of Ayurved and Yoga guidelines established by Department of AYUSH for prevention from SARS-CoV-2 by providing help to improving the quality of supportive/prophylactic therapy in relation with their immunity.

Sleep and Violence*

1984 ◽  
Vol 29 (2) ◽  
pp. 132-134 ◽  
Author(s):  
L.B. Raschka
Keyword(s):  
Differential Diagnosis ◽  
Sleep Apnea ◽  
Central Sleep Apnea ◽  
Upper Airway ◽  
Violent Behaviour ◽  
Car Accidents ◽  
Prevention And Treatment ◽  
Respiratory Pathology ◽  
The Brain

Most violence connected with sleep disorder is assumed to be related to sleep walking. It is less well known that other sleep disorders can also give rise to violence. The role of narcolepsy in car accidents is mentioned. Sleep drunkenness can lead to confusion resulting in violent behaviour especially on forced awakening. This condition is associated to sleep apnea. Primary or central sleep apnea is caused by disorders of the brain stem affecting the respiratory center. Secondary or upper airway sleep apnea can be caused by virtually any condition that results in cessation of the airflow due to occlusion of the upper airway. The author describes one patient who engaged in assaultive behaviour on forced awakening following earlier alcohol consumption. The pathomechanism of violent behaviour generated by a combination of sleep apnea and respiratory pathology is described. The differential diagnosis, prevention and treatment is outlined. The use of polysomnography in diagnosis and the potentially dangerous effects of drugs with respiratory depressing effects is highlighted.

Analysis of the existing system of personal development of the head nurse

2020 ◽  
pp. 16-25
Author(s):  
Larisa Karaseva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Personal Development ◽  
Lean Production ◽  
Quality And Safety ◽  
Medical Organization ◽  
Head Nurse ◽  
The Russian Federation ◽  
Role Of Nursing

The article presents the stages of implementation of the principles of lean production in the healthcare of the Russian Federation, outlines the goals and prospects of projects to optimize the quality and safety of medical care, emphasizes the role of nursing specialists in improving the ideology of a patient-oriented medical organization.

Sign in / Sign up

Export Citation Format

Share Document