Pub Date : 2023-06-03DOI: 10.24884/2072-6716-2023-24-2-79-83
A. V. Zhirov, V. L. Radushkevich, I. Minnullin, N. N. Soldatov, E. N. Perevozchikov
The article presents the results of clinical trials of innovative technology of intraosseous access to the human circulatory system in the provision of emergency medical care in the Belgorod region. 32 cases of the use of a domestic device for intraosseous access of UVK M for the treatment of patients with urgent conditions who had difficulties performing puncture / catheterization of veins were studied. The data on the high social and economic efficiency of intraosseous access technology in the practice of emergency medical care are presented.
{"title":"Clinical trials of innovative technology of intraosseous access to the human circulatory system in the provision of emergency medical care","authors":"A. V. Zhirov, V. L. Radushkevich, I. Minnullin, N. N. Soldatov, E. N. Perevozchikov","doi":"10.24884/2072-6716-2023-24-2-79-83","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-79-83","url":null,"abstract":" The article presents the results of clinical trials of innovative technology of intraosseous access to the human circulatory system in the provision of emergency medical care in the Belgorod region. 32 cases of the use of a domestic device for intraosseous access of UVK M for the treatment of patients with urgent conditions who had difficulties performing puncture / catheterization of veins were studied. The data on the high social and economic efficiency of intraosseous access technology in the practice of emergency medical care are presented.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89295507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-03DOI: 10.24884/2072-6716-2023-24-2-67-71
A. Ivanova, A. Potapov, T. A. Androsova, E. V. Klimova
An analysis of the Yakutsk Emergency Department documentation for 2018–2022 was carried out in order to assess the effectiveness of prehospital cardiopulmonary resuscitation. It was revealed that over a number of years, the Department has maintained a fairly high level of successful resuscitation with restored cardiac activity (increased from 0 % in 2005 to 44.7 % in 2022). The result was achieved through continuous managerial efforts (training of mobile team personnel, increasing readiness for extended resuscitation in all mobile teams, gradual acquisition of technical equipment for providing comprehensive emergency services, daily quality control of medical services provided to patients, effective functioning of the operational department). A high-quality resuscitation performed by the teams contributes to the reduced mortality from preventable causes.
{"title":"The effectiveness of prehospital cardiopulmonary resuscitation","authors":"A. Ivanova, A. Potapov, T. A. Androsova, E. V. Klimova","doi":"10.24884/2072-6716-2023-24-2-67-71","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-67-71","url":null,"abstract":" An analysis of the Yakutsk Emergency Department documentation for 2018–2022 was carried out in order to assess the effectiveness of prehospital cardiopulmonary resuscitation. It was revealed that over a number of years, the Department has maintained a fairly high level of successful resuscitation with restored cardiac activity (increased from 0 % in 2005 to 44.7 % in 2022). The result was achieved through continuous managerial efforts (training of mobile team personnel, increasing readiness for extended resuscitation in all mobile teams, gradual acquisition of technical equipment for providing comprehensive emergency services, daily quality control of medical services provided to patients, effective functioning of the operational department). A high-quality resuscitation performed by the teams contributes to the reduced mortality from preventable causes.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78329035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-03DOI: 10.24884/2072-6716-2023-24-2-72-78
A. L. Ershov, V. O. Bozhko, N. Slyadneva
Review of literature on the rationale and features of the application of noninvasive mechanical ventilation in CPAP mode in providing emergency medical care to patients with exacerbation of COPD and acute cardiogenic pulmonary edema.
{"title":"Rationales and methodology of the noninvasive ventilation in CPAP mode in pre‑hospital care for exacerbations of chronic obstructive pulmonary disease and cardiac pulmonary edema","authors":"A. L. Ershov, V. O. Bozhko, N. Slyadneva","doi":"10.24884/2072-6716-2023-24-2-72-78","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-72-78","url":null,"abstract":" Review of literature on the rationale and features of the application of noninvasive mechanical ventilation in CPAP mode in providing emergency medical care to patients with exacerbation of COPD and acute cardiogenic pulmonary edema.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76271887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-03DOI: 10.24884/2072-6716-2023-24-2-84-90
A. Muravyeva, A. V. Farsiyants, A. V. Kovrizhkin
The purpose of the study was to identify the care provision defects on prehospital stage in patients with stroke in order to improve the quality of care for this category of patients. Objectives of the research: to study the frequency of hospitalization the patients with suspected stroke, depending on gender and age; to evaluate the efficiency of the ambulance team’s departure to the patient and the timing of the patient’s delivery to the hospital; to assess the quality of diagnosis and drug therapy at the prehospital stage. Materials and methods. The analysis of statistical observation forms No. 30, form № 109/y, accounting form № 110/y Stavropol Regional Clinical Emergency Medical Station, as well as case histories of patients with stroke in City Clinical Hospital No. 3, Stavropol, from 2016 to 2020. Results. A retrospective analysis of accounting and statistical documents of the Ambulance in a five-year period showed a fairly high efficiency in the work of dispatchers – 74.3 % of correct interviewing of patients to identify risk categories; ambulance crew within the framework of efficiency indicators – the time to reach the specialized department in Stavropol was 44 ± 4.1 minutes. However, the analysis of case histories of the ICU revealed violations in the observance of the algorithm for providing medical care to patients with stroke, in the form of: lack of protection of the upper respiratory tract and maintenance of adequate oxygenation — 43 cases (93.4 %); poorly correctable OSHF at the prehospital stage — 12 cases (14.5 %); non-compliance with the algorithm for examining a patient with stroke at the prehospital stage – 11 (13.2 %); lack of provision of adequate venous access – 9 (10.8 %) cases. Conclusion. The revealed defects of the prehospital stage contributed to the worsening of acute cerebral insufficiency, changes in the volume of the lesion, increased dislocation of brain structures, and in some cases led to daily mortality.
{"title":"The main problems and defects of the medical care on prehospital stage for patients with acute cerebrovascular accident in Stavropol","authors":"A. Muravyeva, A. V. Farsiyants, A. V. Kovrizhkin","doi":"10.24884/2072-6716-2023-24-2-84-90","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-84-90","url":null,"abstract":" The purpose of the study was to identify the care provision defects on prehospital stage in patients with stroke in order to improve the quality of care for this category of patients. Objectives of the research: to study the frequency of hospitalization the patients with suspected stroke, depending on gender and age; to evaluate the efficiency of the ambulance team’s departure to the patient and the timing of the patient’s delivery to the hospital; to assess the quality of diagnosis and drug therapy at the prehospital stage. Materials and methods. The analysis of statistical observation forms No. 30, form № 109/y, accounting form № 110/y Stavropol Regional Clinical Emergency Medical Station, as well as case histories of patients with stroke in City Clinical Hospital No. 3, Stavropol, from 2016 to 2020. Results. A retrospective analysis of accounting and statistical documents of the Ambulance in a five-year period showed a fairly high efficiency in the work of dispatchers – 74.3 % of correct interviewing of patients to identify risk categories; ambulance crew within the framework of efficiency indicators – the time to reach the specialized department in Stavropol was 44 ± 4.1 minutes. However, the analysis of case histories of the ICU revealed violations in the observance of the algorithm for providing medical care to patients with stroke, in the form of: lack of protection of the upper respiratory tract and maintenance of adequate oxygenation — 43 cases (93.4 %); poorly correctable OSHF at the prehospital stage — 12 cases (14.5 %); non-compliance with the algorithm for examining a patient with stroke at the prehospital stage – 11 (13.2 %); lack of provision of adequate venous access – 9 (10.8 %) cases. Conclusion. The revealed defects of the prehospital stage contributed to the worsening of acute cerebral insufficiency, changes in the volume of the lesion, increased dislocation of brain structures, and in some cases led to daily mortality.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82621766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-02DOI: 10.24884/2072-6716-2023-24-2-40-47
N. Shen, A. S. Minin, I. D. Panov
Medical evacuation of patients between medical organizations and intensive care units is a complex and urgent problem. To objectify the transportability of patients, the authors proposed calculating the comorbidity index, assessing the severity of multiple organ dysfunction and its structure. The study showed a high role of the patient’s age and the severity of polyhedral dysfunction and an insignificant role of the comorbidity index.
{"title":"The role of evaluation of the comorbidity index and the expression of multiorgan dysfunction in the objectivization of patient transportability","authors":"N. Shen, A. S. Minin, I. D. Panov","doi":"10.24884/2072-6716-2023-24-2-40-47","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-40-47","url":null,"abstract":" Medical evacuation of patients between medical organizations and intensive care units is a complex and urgent problem. To objectify the transportability of patients, the authors proposed calculating the comorbidity index, assessing the severity of multiple organ dysfunction and its structure. The study showed a high role of the patient’s age and the severity of polyhedral dysfunction and an insignificant role of the comorbidity index.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76303782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-02DOI: 10.24884/2072-6716-2023-24-2-33-39
N. I. Gaponova
In 94 patients, suffering from complicated or uncomplicated hypertensic crisis, the efficiency and safety of esmolol administration in pre-hospital stage of emergency medical care was examined. Unique pharmacokinetics of esmolol allow us to achieve significant arterial tension decrease during the first minutes of the intravenous injection, meanwhile antihypertensive effect increases till 20 minutes and elimination half-life is 9 minutes. Esmolol dosage was selected depending on initial hemodynamic indicators and hypertensic crisis complications. In order to evaluate efficiency and safety in this research the following indicators were measured: sistolic blood pressure, diastolic blood pressure, heart rate, electrocardiogram and SpO2 , respiratory function monitoring.
{"title":"Evaluation of the efficiency and safety of Esmolol in patients, who suffers from hypertensic crisis, within the conditions of emergency medical care","authors":"N. I. Gaponova","doi":"10.24884/2072-6716-2023-24-2-33-39","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-33-39","url":null,"abstract":" In 94 patients, suffering from complicated or uncomplicated hypertensic crisis, the efficiency and safety of esmolol administration in pre-hospital stage of emergency medical care was examined. Unique pharmacokinetics of esmolol allow us to achieve significant arterial tension decrease during the first minutes of the intravenous injection, meanwhile antihypertensive effect increases till 20 minutes and elimination half-life is 9 minutes. Esmolol dosage was selected depending on initial hemodynamic indicators and hypertensic crisis complications. In order to evaluate efficiency and safety in this research the following indicators were measured: sistolic blood pressure, diastolic blood pressure, heart rate, electrocardiogram and SpO2 , respiratory function monitoring.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82146612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-02DOI: 10.24884/2072-6716-2023-24-2-48-53
Y. Linets, S. Artyukhov, T. E. Zaitseva, A. E. Chikin, N. Zarkua
The article is devoted to the analysis of the provision of emergency surgical care to patients of a multispecialty hospital, repurposed for the treatment of patients with a new coronavirus infection and suspected of it. As a comparison period, a similar period of time outside of work in the conditions of CAVID-19 is taken. An increase in thrombosis and pneumothorax was reversed.
{"title":"Specific features of surgical care for patients with COVID‑19","authors":"Y. Linets, S. Artyukhov, T. E. Zaitseva, A. E. Chikin, N. Zarkua","doi":"10.24884/2072-6716-2023-24-2-48-53","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-48-53","url":null,"abstract":" The article is devoted to the analysis of the provision of emergency surgical care to patients of a multispecialty hospital, repurposed for the treatment of patients with a new coronavirus infection and suspected of it. As a comparison period, a similar period of time outside of work in the conditions of CAVID-19 is taken. An increase in thrombosis and pneumothorax was reversed.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73373404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-02DOI: 10.24884/2072-6716-2023-24-2-54-66
E. Vladimirova, F. A. Chernousov, E. Klychnikova, I. Popova, A. I. Kramarenko, O. A. Alekseechkina, K. Popugaev, P. A. Yartsev, R. Bayramov
{"title":"Spontaneous soft tissue hematomas in patients with severe COVID‑19 infection","authors":"E. Vladimirova, F. A. Chernousov, E. Klychnikova, I. Popova, A. I. Kramarenko, O. A. Alekseechkina, K. Popugaev, P. A. Yartsev, R. Bayramov","doi":"10.24884/2072-6716-2023-24-2-54-66","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-54-66","url":null,"abstract":"","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79057486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.24884/2072-6716-2023-24-2-
A. Editorial
February 20, 2023 marks the anniversary of Boris Dmitrievich Komarov, participant in the Stalingrad meeting, corresponding member of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, surgeon professor, scientist, one of the largest creators of the Soviet state system of emergency medical care.
{"title":"95th anniversary of Boris Dmitrievich Komarov","authors":"A. Editorial","doi":"10.24884/2072-6716-2023-24-2-","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-","url":null,"abstract":" February 20, 2023 marks the anniversary of Boris Dmitrievich Komarov, participant in the Stalingrad meeting, corresponding member of the Russian Academy of Sciences, Honored Scientist of the Russian Federation, surgeon professor, scientist, one of the largest creators of the Soviet state system of emergency medical care.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73484623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-06-01DOI: 10.24884/2072-6716-2023-24-2-11-15
A. E. Manoilov
The dynamics and forecasting of the population’s calls for emergency medical care due to an increase in blood pressure are determined. A comparative analysis and prediction of the number of calls served with the final diagnoses of “hypertensive disease” and “hypertensive crisis” were carried out.
{"title":"Analysis and forecast of emergency medical care indicators for patients with diseases characterized by high blood pressure","authors":"A. E. Manoilov","doi":"10.24884/2072-6716-2023-24-2-11-15","DOIUrl":"https://doi.org/10.24884/2072-6716-2023-24-2-11-15","url":null,"abstract":" The dynamics and forecasting of the population’s calls for emergency medical care due to an increase in blood pressure are determined. A comparative analysis and prediction of the number of calls served with the final diagnoses of “hypertensive disease” and “hypertensive crisis” were carried out.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73114861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：