Pub Date : 2020-10-14DOI: 10.24884/2072-6716-2020-21-3-24-32
M. I. Gromov, A. Lodyagin, A. Fedorov, O. E. Zaev, O. Kuznetsov
Emergency extracorporeal blood cleansing must be performed in case of poisoning with highly toxic poisons (ethylene glycols, chlorinated hydrocarbons, methyl alcohol, organophosphorus compounds). Urgent - with severe poisoning with potent substances, which are characterized by a long period of a smoothed clinical course. Delayed — to the rest of the victims in case of severe poisoning and ineffectiveness of the main etiopathogenetic treatment within 6 hours according to the individual list of toxicants.
{"title":"EXTRACORPOREAL DETOXICATION IN THE TOXIGENIC STAGE POISONING: TREATMENT RECOMMENDATIONS","authors":"M. I. Gromov, A. Lodyagin, A. Fedorov, O. E. Zaev, O. Kuznetsov","doi":"10.24884/2072-6716-2020-21-3-24-32","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-24-32","url":null,"abstract":"Emergency extracorporeal blood cleansing must be performed in case of poisoning with highly toxic poisons (ethylene glycols, chlorinated hydrocarbons, methyl alcohol, organophosphorus compounds). Urgent - with severe poisoning with potent substances, which are characterized by a long period of a smoothed clinical course. Delayed — to the rest of the victims in case of severe poisoning and ineffectiveness of the main etiopathogenetic treatment within 6 hours according to the individual list of toxicants.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79284152","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 : 2020-10-14DOI: 10.24884/2072-6716-2020-21-3-33-38
V. Vasilev
Objectives. To assess the advantages and disadvantages of videolaryngoscopy as one of methods of tracheal intubation which is being widely used as an alternative to direct laryngoscopy in anesthesiologist’s practice.Material and methods. Over 100 of tracheal intubations were conducted with the use of videolaryngoscope, along with a routine use of the direct laryngoscopy. The results of 48 intubations are discussed. 4 clinical cases are presented in this article.Results. Cormack-Lehane grade I view was obtained in 39 cases (81,3%), Cormack-Lehane grade II - in 9 patients (18,8%). First attempt intubation was performed in 43 cases (89,6%), in 4 cases intubation was successful after second attempt (8,3%), failed intubation was in 1 case (2,1%). The mean duration of successful intubation was 36,9 sec. Certain difficulties occured during intubation related with the advancement of the endotracheal tube. Technical solutions are given for some of intraprocedural conditions.Conclusions. Videolaryngoscopy is a safe and effective method of tracheal intubation. Although this method is not lacking in disadvantages it has a number of advantages, main of which is the improved larynx visualization. In our opinion, this method can not completely replace direct laryngoscopy in anesthesiolodist’s practice, but may serve as an adjuvant in case of difficult intubation.
{"title":"EXPERIENCE OF VIDEO LARYNGOSCOPY DURING TRACHEAL INTUBATION FOR EMERGENCY INDICATIONS IN THE PRACTICE OF AN ANESTHESIOLOGIST AND RESUSCITATOR","authors":"V. Vasilev","doi":"10.24884/2072-6716-2020-21-3-33-38","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-33-38","url":null,"abstract":"Objectives. To assess the advantages and disadvantages of videolaryngoscopy as one of methods of tracheal intubation which is being widely used as an alternative to direct laryngoscopy in anesthesiologist’s practice.Material and methods. Over 100 of tracheal intubations were conducted with the use of videolaryngoscope, along with a routine use of the direct laryngoscopy. The results of 48 intubations are discussed. 4 clinical cases are presented in this article.Results. Cormack-Lehane grade I view was obtained in 39 cases (81,3%), Cormack-Lehane grade II - in 9 patients (18,8%). First attempt intubation was performed in 43 cases (89,6%), in 4 cases intubation was successful after second attempt (8,3%), failed intubation was in 1 case (2,1%). The mean duration of successful intubation was 36,9 sec. Certain difficulties occured during intubation related with the advancement of the endotracheal tube. Technical solutions are given for some of intraprocedural conditions.Conclusions. Videolaryngoscopy is a safe and effective method of tracheal intubation. Although this method is not lacking in disadvantages it has a number of advantages, main of which is the improved larynx visualization. In our opinion, this method can not completely replace direct laryngoscopy in anesthesiolodist’s practice, but may serve as an adjuvant in case of difficult intubation.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77197795","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 : 2020-10-14DOI: 10.24884/2072-6716-2020-21-3-64-78
K. N. Movchan, K. Chernov, B. S. Artyushin, A. V. Zharkov, V. V. Tatarkin, A. Chernova, E. V. Zhelezniy
Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often, with malignant tumors, as well as with benign pathological conditions. Adversity in the postoperative period in patients undergoing cystectomy is mainly due to the need to ensure adequate derivation of urine. One of the solutions to this problem is the implementation of ileocystoplastic, which, in turn, is associated with the implementation of technically difficult and large-scale manipulations during surgery. Organizationally performing a surgical aid such as cystectomy on a stream in a round-the-clock emergency hospital does not make much sense. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with an oncourological profile is an everyday programmed activity. Specialists of the prehospital medical care section have a special role in routing patients with bladder diseases, and not only their formal referral and delivery to non-specialized medical and preventive care institutions in emergency mode with syndromic diagnoses such as “renal colic or macrohematuria”. Currently, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations in which the required number of cystectomy operations with intestinal plastic is performed annually, which makes it possible to guarantee the maximum effect of the use of such surgical interventions without discrediting the method by the rarity of its implementation, and with favorable long-term results of treatment of patients.
{"title":"ABOUT DIFFICULTIES IN THE QUALITY EXAMINATION OF MEDICAL CARE AT THE PROBLEM OF THE EARLY POST-OPERATIVE PERIOD IN CASES OF PERFORMANCE OF THE CISTECTOMY IN THE CONDITIONS OF A MULTI-PROFILE HOSPITAL","authors":"K. N. Movchan, K. Chernov, B. S. Artyushin, A. V. Zharkov, V. V. Tatarkin, A. Chernova, E. V. Zhelezniy","doi":"10.24884/2072-6716-2020-21-3-64-78","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-64-78","url":null,"abstract":"Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often, with malignant tumors, as well as with benign pathological conditions. Adversity in the postoperative period in patients undergoing cystectomy is mainly due to the need to ensure adequate derivation of urine. One of the solutions to this problem is the implementation of ileocystoplastic, which, in turn, is associated with the implementation of technically difficult and large-scale manipulations during surgery. Organizationally performing a surgical aid such as cystectomy on a stream in a round-the-clock emergency hospital does not make much sense. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with an oncourological profile is an everyday programmed activity. Specialists of the prehospital medical care section have a special role in routing patients with bladder diseases, and not only their formal referral and delivery to non-specialized medical and preventive care institutions in emergency mode with syndromic diagnoses such as “renal colic or macrohematuria”. Currently, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations in which the required number of cystectomy operations with intestinal plastic is performed annually, which makes it possible to guarantee the maximum effect of the use of such surgical interventions without discrediting the method by the rarity of its implementation, and with favorable long-term results of treatment of patients.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81557804","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 : 2020-10-14DOI: 10.24884/2072-6716-2020-21-3-58-63
R. N. Kadirov, F. A. Hadjibaev, Y. M. Akhmedov, E. R. Minnulin
Relapses of gastroesophageal hemorrhage in patients with portal hypertension are one of the most difficult problems of modern medicine.
门脉高压患者胃食管出血的复发是现代医学的难题之一。
{"title":"EFFICIENCY OF HEMOSTASIS ENDOSCOPIC METHODS FOR HEMORRHAGE FROM VARIOUSLY EXTENDED VESES OF THE ESOPHAGOD","authors":"R. N. Kadirov, F. A. Hadjibaev, Y. M. Akhmedov, E. R. Minnulin","doi":"10.24884/2072-6716-2020-21-3-58-63","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-58-63","url":null,"abstract":"Relapses of gastroesophageal hemorrhage in patients with portal hypertension are one of the most difficult problems of modern medicine.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85473825","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-34-39
A. Stepanov, K. Shapovalov, A. Miromanov, V. Konnov, A. Malyarchikov, V. V. Dorzheev, D. Konnov
Тhe article is dedicated to providing medical assistance and conducting exercises in road traffic accidents.
Тhe文章致力于在道路交通事故中提供医疗援助和进行演习。
{"title":"RENDERING MEDICAL CARE WITH A LARGE ROAD TRANSPORT ACCIDENT","authors":"A. Stepanov, K. Shapovalov, A. Miromanov, V. Konnov, A. Malyarchikov, V. V. Dorzheev, D. Konnov","doi":"10.24884/2072-6716-2020-21-2-34-39","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-34-39","url":null,"abstract":"Тhe article is dedicated to providing medical assistance and conducting exercises in road traffic accidents.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87909502","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-40-47
Y. Shapkin, P. Seliverstov, N. Y. Stekolnikov
The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.
{"title":"FOREIGN EXPERIENCE OF EMERGENCY MEDICAL SERVICE TO A VICTIM OF A MAJOR TRAUMA IN REGIONAL TRAUMA SYSTEMS","authors":"Y. Shapkin, P. Seliverstov, N. Y. Stekolnikov","doi":"10.24884/2072-6716-2020-21-2-40-47","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-40-47","url":null,"abstract":"The review discusses the current problems of organizing prehospital care for victims of severe trauma in overseas developed regional trauma systems. The results of studies on the features of pre-hospital triage, the choice of the amount of emergency medical care, the route and type of transportation of victims in the functioning of trauma systems are systematized. Foreign experience in providing emergency medical care for severe injuries can be useful for the creation and implementation of domestic trauma systems.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78336386","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-15-18
S. Bulatov, A. M. Antonov
The article discusses the problem of providing medical care at the prehospital stage for children who have become participants in a traffic accident. Neck injuries are one of the main causes of death. First aid should include mandatory immobilization of the cervical spine. It is recommended to include the collar-tires in the kit first aid kit (“car”).
{"title":"PRE-HOSPITAL FIRST AID: REAL RICK TO LIFE, WHICH CAN GIVE FATAL EXIT FOR A CHILD IN AN TRAFFIC ACCIDENT","authors":"S. Bulatov, A. M. Antonov","doi":"10.24884/2072-6716-2020-21-2-15-18","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-15-18","url":null,"abstract":"The article discusses the problem of providing medical care at the prehospital stage for children who have become participants in a traffic accident. Neck injuries are one of the main causes of death. First aid should include mandatory immobilization of the cervical spine. It is recommended to include the collar-tires in the kit first aid kit (“car”).","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79942828","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-48-54
E. Lavrinova, D. N. Bryliakova, G. Kukharchik
Background . The incidence of non- ST -segment-elevation acute coronary syndrome (NSTEACS) is especially high in elderly. In such patients, concomitant diseases are more common and there is a higher risk of complications, which emphasizes the relevance of the study of frailty syndrome and outcomes in NSTEACS. Objective . The aim of the study was to analyze the effect of frailty on the course of nonST-segment elevation acute coronary syndrome and outcomes in elderly and senile patients. Design and methods . 126 patients with non- ST -segment elevation acute coronary syndrome at the age of 61 to 90 were involved into the study. Follow-up was carried out during 1 year; clinical endpoints were mortality and recurrent acute coronary syndrome. All patients were divided into 3 groups according to the frailty index by M. Hoover et al.: the first group — 49 patients with frailty syndrome (38,9%), the second — 47 (37,3%) with pre-frailty and 30 patients (23,8%) without frailty. Results . Geriatric syndromes, cognitive impairment, depression, decreased basic and instrumental activity were more often in patients with frailty. They also had more complications, such as bleeding, arrhythmias and early post-infarction angina. During 1-year followup 5 patients with frailty (10.2%), 5 patients (10.6%) with pre-frailty, and 2 patients (6.6%) without frailty had adverse outcomes. When analyzing the influence of age and frailty on the development of adverse outcomes (death, repeated ACS), a higher contribution of age was revealed. Conclusion . Patients with ACS and frailty have a higher risk of adverse outcomes. Some of the reasons are various geriatric syndromes, changes in emotional and cognitive status and more frequent complications. Age and frailty were crucial for the development of adverse outcomes. However, senile age was of higher importance for the outcomes.
{"title":"INFLUENCE OF FRAILTY SYNDROME ON THE COURSE OF NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME AND OUTCOMES IN ELDERLY AND SENILE PATIENTS","authors":"E. Lavrinova, D. N. Bryliakova, G. Kukharchik","doi":"10.24884/2072-6716-2020-21-2-48-54","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-48-54","url":null,"abstract":"Background . The incidence of non- ST -segment-elevation acute coronary syndrome (NSTEACS) is especially high in elderly. In such patients, concomitant diseases are more common and there is a higher risk of complications, which emphasizes the relevance of the study of frailty syndrome and outcomes in NSTEACS. Objective . The aim of the study was to analyze the effect of frailty on the course of nonST-segment elevation acute coronary syndrome and outcomes in elderly and senile patients. Design and methods . 126 patients with non- ST -segment elevation acute coronary syndrome at the age of 61 to 90 were involved into the study. Follow-up was carried out during 1 year; clinical endpoints were mortality and recurrent acute coronary syndrome. All patients were divided into 3 groups according to the frailty index by M. Hoover et al.: the first group — 49 patients with frailty syndrome (38,9%), the second — 47 (37,3%) with pre-frailty and 30 patients (23,8%) without frailty. Results . Geriatric syndromes, cognitive impairment, depression, decreased basic and instrumental activity were more often in patients with frailty. They also had more complications, such as bleeding, arrhythmias and early post-infarction angina. During 1-year followup 5 patients with frailty (10.2%), 5 patients (10.6%) with pre-frailty, and 2 patients (6.6%) without frailty had adverse outcomes. When analyzing the influence of age and frailty on the development of adverse outcomes (death, repeated ACS), a higher contribution of age was revealed. Conclusion . Patients with ACS and frailty have a higher risk of adverse outcomes. Some of the reasons are various geriatric syndromes, changes in emotional and cognitive status and more frequent complications. Age and frailty were crucial for the development of adverse outcomes. However, senile age was of higher importance for the outcomes.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86439487","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-9-14
V. Teplov, E. A. Tsebrovskaya, E. A. Karpova, E. Suleymanov, A. B. Ihaev, N. V. Razumniy, I. Minnullin, S. Bagnenko
This article presents the experience of using computer modeling to organize a three-tier system of emergency medical care in the Chechen Republic. An analysis of patients admitted for emergency indications to various hospitals in the Chechen Republic was carried out. Based on the data obtained, an adequate simulation model is created. At the last, a series of experiments was conducted aimed at determining the optimal redistribution of the flow of patients in need of emergency care in level 3 hospitals.
{"title":"SIMULATION OF A THREE-LEVEL EMERGENCY MEDICAL CARE SYSTEM IN THE CHECHEN REPUBLIC","authors":"V. Teplov, E. A. Tsebrovskaya, E. A. Karpova, E. Suleymanov, A. B. Ihaev, N. V. Razumniy, I. Minnullin, S. Bagnenko","doi":"10.24884/2072-6716-2020-21-2-9-14","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-9-14","url":null,"abstract":"This article presents the experience of using computer modeling to organize a three-tier system of emergency medical care in the Chechen Republic. An analysis of patients admitted for emergency indications to various hospitals in the Chechen Republic was carried out. Based on the data obtained, an adequate simulation model is created. At the last, a series of experiments was conducted aimed at determining the optimal redistribution of the flow of patients in need of emergency care in level 3 hospitals.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79438032","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 : 2020-09-14DOI: 10.24884/2072-6716-2020-21-2-28-33
I. A. Shikalova, I. Barsukova, A. Lodyagin, A. Sinenchenko, G. V. Shestova
The relevance of a subject is conditioned by the extreme importance of the medical and social issues of providing medical care services to patients with acute alcohol intoxication. This research is conducted to find ways to optimize medical care services for patients with the diagnosis “toxic effect of ethanol” (ICD-10-CM code T51.0). For this study, was analysed: course of 13172 clinical cases and the possibility of treating this pathology in the hospital emergency departments. Statistical and analytical methods were used to study data from the medical information system of The Saint Petersburg Research Institute of Emergency Medicine n. a. I. I. Dzhanelidze. As a result of the study the place of treatment of patients with diagnose “toxic effect of ethanol” was determined: for mild and moderate patient — emergency departments of multi-specialty hospitals, and for severe patient — in specialized acute poisoning treatment Center.
{"title":"CAPABILITIES OF HOSPITAL EMERGENCY DEPARTMENTS IN THE TREATMENT OF PATIENTS WITH A DIAGNOSIS OF “TOXIC EFFECT OF ETHANOL”","authors":"I. A. Shikalova, I. Barsukova, A. Lodyagin, A. Sinenchenko, G. V. Shestova","doi":"10.24884/2072-6716-2020-21-2-28-33","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-28-33","url":null,"abstract":"The relevance of a subject is conditioned by the extreme importance of the medical and social issues of providing medical care services to patients with acute alcohol intoxication. This research is conducted to find ways to optimize medical care services for patients with the diagnosis “toxic effect of ethanol” (ICD-10-CM code T51.0). For this study, was analysed: course of 13172 clinical cases and the possibility of treating this pathology in the hospital emergency departments. Statistical and analytical methods were used to study data from the medical information system of The Saint Petersburg Research Institute of Emergency Medicine n. a. I. I. Dzhanelidze. As a result of the study the place of treatment of patients with diagnose “toxic effect of ethanol” was determined: for mild and moderate patient — emergency departments of multi-specialty hospitals, and for severe patient — in specialized acute poisoning treatment Center.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85132987","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：