Pub Date : 2022-12-10DOI: 10.24884/2072-6716-2022-23-4-4-17
A. Birkun, S. Bagnenko, L. I. Dezhurny
Being a common cause of death and disability, injuries remain a highly relevant global public health problem. In Russia, injuries hold one of the leading positions in the structure of mortality of the population, causing significant social and economic losses for the country. While the likelihood of saving lives and preventing severe complications in injuries largely depends on the ability of witnesses of the incident to early and correctly provide first aid (FA) to the victims, the actual frequency of providing FA remains low. A promising way to involve untrained people in the process of providing FA is to remotely instruct witnesses of the incident by emergency dispatchers on how to give FA. This article discusses international experience of dispatcher assistance for FA in trauma and presents a draft of a universal Russian-language algorithm for remote dispatcher interviewing and advising witnesses of the incident on provision of FA in trauma, that was developed taking into account the current Russian and international guidelines. The algorithm is proposed for further appraisal and implementation in the practical work of emergency dispatchers as a basic component of the federal program of dispatcher assistance for FA.
{"title":"Distance assistance for first aid in trauma: literature review and a draft of the dispatcher algorithm","authors":"A. Birkun, S. Bagnenko, L. I. Dezhurny","doi":"10.24884/2072-6716-2022-23-4-4-17","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-4-4-17","url":null,"abstract":"Being a common cause of death and disability, injuries remain a highly relevant global public health problem. In Russia, injuries hold one of the leading positions in the structure of mortality of the population, causing significant social and economic losses for the country. While the likelihood of saving lives and preventing severe complications in injuries largely depends on the ability of witnesses of the incident to early and correctly provide first aid (FA) to the victims, the actual frequency of providing FA remains low. A promising way to involve untrained people in the process of providing FA is to remotely instruct witnesses of the incident by emergency dispatchers on how to give FA. This article discusses international experience of dispatcher assistance for FA in trauma and presents a draft of a universal Russian-language algorithm for remote dispatcher interviewing and advising witnesses of the incident on provision of FA in trauma, that was developed taking into account the current Russian and international guidelines. The algorithm is proposed for further appraisal and implementation in the practical work of emergency dispatchers as a basic component of the federal program of dispatcher assistance for FA.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89635039","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-73-75
A. Editorial
.
．
{"title":"MINUTES OF THE MEETING OF THE PROFILE COMMISSION FOR THE SPECIALTY «EMERGENCY AID» OF THE MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION (JUNE 9, 2022)","authors":"A. Editorial","doi":"10.24884/2072-6716-2022-23-3-73-75","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-73-75","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79207358","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-76
И. П. Миннуллин
.
．
{"title":"2nd CONGRESS OF THE EURO-ASIAN COMMUNITY OF EMERGENCY MEDICINE (ST. PETERSBURG, JUNE 9–10, 2022)","authors":"И. П. Миннуллин","doi":"10.24884/2072-6716-2022-23-3-76","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-76","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89202240","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-60-68
A. L. Ershov
The review of foreign literature highlights some principles of ensuring the patency of the patient‘s respiratory tract with subsequent artificial ventilation during resuscitation by an ambulance team.
对国外文献的回顾强调了一些原则，以确保病人的呼吸道通畅与随后的人工通气在复苏期间由救护车团队。
{"title":"Some aspects of airway management and artificial ventilation during advanced life support carried out by the EMS brigade. Review","authors":"A. L. Ershov","doi":"10.24884/2072-6716-2022-23-3-60-68","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-60-68","url":null,"abstract":"The review of foreign literature highlights some principles of ensuring the patency of the patient‘s respiratory tract with subsequent artificial ventilation during resuscitation by an ambulance team.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82720604","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-77-78
A. Editorial
.
．
{"title":"INTERREGIONAL SCIENTIFIC AND PRACTICAL CONFERENCE WITH INTERNATIONAL PARTICIPATION “CURRENT ISSUES OF THE ORGANIZATION OF EMERGENCY, INCLUDING EMERGENCY SPECIALIZED MEDICAL ASSISTANCE” (MOSCOW, NOVEMBER 10–11, 2022)","authors":"A. Editorial","doi":"10.24884/2072-6716-2022-23-3-77-78","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-77-78","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79077944","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-53-59
A. Miroshnichenko, E. Popova, R. Mamedov, A. A. Popov, O. I. Khabarova, M. A. Bolshakova, R. Rakhmanov, Y. B. Mamedova, V. V. Gladneva
Objective: to establish the reasons that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia and to outline ways to solve them. Materials and methods. Official statistical forms, information materials and electronic databases of the State Budgetary Institution of Health of the Republic of Khakassia “Republican Medical Information and Analytical Center” of the Ministry of Health of the Republic of Khakassia (RMIAC) and the Department of State Road Safety Inspectorate of the Ministry of Internal Affairs for the Republic of Khakassia (UGIBDD) were used. Results. An analysis of the causes that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia is carried out. Of course, persons injured as a result of transport accidents that occurred on the territory of a large city have a better chance of the timely arrival of the ambulance team than those injured as a result of a traffic accident on highways remote from large cities. Conclusion. It is necessary to continue this study for the scientific substantiation of ways to eliminate the causes that impede the provision of ambulance in case of road acci[1]dents in the Republic of Khakassia.
{"title":"Provision of emergency medical care in the territory of the Republic of Khakassia for road traffic injury","authors":"A. Miroshnichenko, E. Popova, R. Mamedov, A. A. Popov, O. I. Khabarova, M. A. Bolshakova, R. Rakhmanov, Y. B. Mamedova, V. V. Gladneva","doi":"10.24884/2072-6716-2022-23-3-53-59","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-53-59","url":null,"abstract":"Objective: to establish the reasons that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia and to outline ways to solve them. Materials and methods. Official statistical forms, information materials and electronic databases of the State Budgetary Institution of Health of the Republic of Khakassia “Republican Medical Information and Analytical Center” of the Ministry of Health of the Republic of Khakassia (RMIAC) and the Department of State Road Safety Inspectorate of the Ministry of Internal Affairs for the Republic of Khakassia (UGIBDD) were used. Results. An analysis of the causes that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia is carried out. Of course, persons injured as a result of transport accidents that occurred on the territory of a large city have a better chance of the timely arrival of the ambulance team than those injured as a result of a traffic accident on highways remote from large cities. Conclusion. It is necessary to continue this study for the scientific substantiation of ways to eliminate the causes that impede the provision of ambulance in case of road acci[1]dents in the Republic of Khakassia.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"83 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77645731","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 : 2022-10-01DOI: 10.24884/2072-6716-2022-23-3-69-72
S. Povzun
There is described the casuistic case of the death of the 67-year-old woman from hemotamponade of the pericardial cavity due to non-perforating injury to the posterior wall of the left heart ventricle with the fish bone that has perforated the anterior wall of the esophagus. It is also reported about the presence in literature of the single publication of the case of such perforation of the left heart atrium with its thrombosis and thromboembolic complications and of few rare cases of such perforation complicated with aortal pseudoaneurism, hemophtisis, and lung abscess. The peculiarity of this and published in the literature cases is that most of such perforations are asymptomatic, and their clinical manifestations appear already at the stage of development of complications.
{"title":"Heart injury by the fish bone that has perforated esophagus","authors":"S. Povzun","doi":"10.24884/2072-6716-2022-23-3-69-72","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-69-72","url":null,"abstract":"There is described the casuistic case of the death of the 67-year-old woman from hemotamponade of the pericardial cavity due to non-perforating injury to the posterior wall of the left heart ventricle with the fish bone that has perforated the anterior wall of the esophagus. It is also reported about the presence in literature of the single publication of the case of such perforation of the left heart atrium with its thrombosis and thromboembolic complications and of few rare cases of such perforation complicated with aortal pseudoaneurism, hemophtisis, and lung abscess. The peculiarity of this and published in the literature cases is that most of such perforations are asymptomatic, and their clinical manifestations appear already at the stage of development of complications.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80905856","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 : 2022-09-30DOI: 10.24884/2072-6716-2022-23-3-10-16
I. Belenky, V. Manukovsky, I. Barsukova
An important task of the health system is to improve the quality of medical care, the quality of professional training of surgeons. The purpose of the study: based on the analysis of the literature, to determine the main components of the educational process within the framework of continuous education of doctors of surgical specialties, necessary for adequate professional development and improvement of the quality of medical care for specialized patients. Results of the study. An analysis of the system of professional training of surgeons was carried out, its shortcomings were noted. Knowledge, practical skills, experience, medical thinking, logic and intuition are the most important components of a highly professional doctor, surgeon. The world experience of training specialists is presented. Conclusion. Today in Russia, a new modern system of postgraduate education of doctors of surgical specialties is being formed within the framework of the system of continuing medical education. In order to achieve better results, organizational approaches to vocational education should be reviewed.
{"title":"Continuous medical education: modern approaches to surgical training","authors":"I. Belenky, V. Manukovsky, I. Barsukova","doi":"10.24884/2072-6716-2022-23-3-10-16","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-10-16","url":null,"abstract":"An important task of the health system is to improve the quality of medical care, the quality of professional training of surgeons. The purpose of the study: based on the analysis of the literature, to determine the main components of the educational process within the framework of continuous education of doctors of surgical specialties, necessary for adequate professional development and improvement of the quality of medical care for specialized patients. Results of the study. An analysis of the system of professional training of surgeons was carried out, its shortcomings were noted. Knowledge, practical skills, experience, medical thinking, logic and intuition are the most important components of a highly professional doctor, surgeon. The world experience of training specialists is presented. Conclusion. Today in Russia, a new modern system of postgraduate education of doctors of surgical specialties is being formed within the framework of the system of continuing medical education. In order to achieve better results, organizational approaches to vocational education should be reviewed.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"69 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82739591","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 : 2022-09-30DOI: 10.24884/2072-6716-2022-23-3-33-36
V. Vasilev, I. S. Vasileva
A case of intubation-tracheal anesthesia in a patient with Duchenne-Becker myopathy due to the need for surgical intervention for acute calculous cholecystitis is described. The methodology of the performed anesthesia is described in detail, as well as the methods of anesthetic support of operations in patients with myopathy, myasthenia gravis and myotonic muscular dystrophy.
{"title":"Pathophysiological aspects of anesthesiological provision of surgical interventions in patients with Duchenne-Becker myopathy","authors":"V. Vasilev, I. S. Vasileva","doi":"10.24884/2072-6716-2022-23-3-33-36","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-33-36","url":null,"abstract":"A case of intubation-tracheal anesthesia in a patient with Duchenne-Becker myopathy due to the need for surgical intervention for acute calculous cholecystitis is described. The methodology of the performed anesthesia is described in detail, as well as the methods of anesthetic support of operations in patients with myopathy, myasthenia gravis and myotonic muscular dystrophy.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84349785","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 : 2022-09-30DOI: 10.24884/2072-6716-2022-23-3-37-42
V. V. Masljakov, S. A. Sidel'nikov, A. V. Savchenko, A. Y. Belov, S. Kapralov, A. E. Burekeshev
The work includes 30 patients with thermal burns of I–II degree, the area of which amounted to 15–20%, living in Saratov for the period from 2011 to 2021. All injuries were obtained in everyday conditions by ingesting hot liquid on various parts of the body. The average age was 28±5 years. There were 19 men (63,3%), 11 women (36,7%) people. Anti-shock measures were carried out for all victims, including the introduction of polyglucin infusion therapy, the imposition of aseptic bandages, and pain relief. The first group (main) included patients who were given narcotic analgesics as pain relief, the second (comparison) included victims who were given non-drug analgesics as pain relief. Based on the results obtained, it was concluded that the use of narcotic analgesics at the prehospital stage leads to the early cessation of pain syndrome, the prevention of the development of traumatic shock and improves the results of treatment of such victims.
{"title":"The importance of adequate pain relief to reduce complications of thermal burns at the prehospital stage","authors":"V. V. Masljakov, S. A. Sidel'nikov, A. V. Savchenko, A. Y. Belov, S. Kapralov, A. E. Burekeshev","doi":"10.24884/2072-6716-2022-23-3-37-42","DOIUrl":"https://doi.org/10.24884/2072-6716-2022-23-3-37-42","url":null,"abstract":"The work includes 30 patients with thermal burns of I–II degree, the area of which amounted to 15–20%, living in Saratov for the period from 2011 to 2021. All injuries were obtained in everyday conditions by ingesting hot liquid on various parts of the body. The average age was 28±5 years. There were 19 men (63,3%), 11 women (36,7%) people. Anti-shock measures were carried out for all victims, including the introduction of polyglucin infusion therapy, the imposition of aseptic bandages, and pain relief. The first group (main) included patients who were given narcotic analgesics as pain relief, the second (comparison) included victims who were given non-drug analgesics as pain relief. Based on the results obtained, it was concluded that the use of narcotic analgesics at the prehospital stage leads to the early cessation of pain syndrome, the prevention of the development of traumatic shock and improves the results of treatment of such victims.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87589224","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}
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