Email this article Features of Medical Evacuation of Victims with Combined Trauma in a Megapolis
- Authors: Fedin A.B.1, Gumenyuk S.A.1, Yarema V.I.1
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Affiliations:
- Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department
- Issue: No 4 (2024)
- Pages: 47-52
- Section: Actual Problems of Medical Evacuation
- URL: https://ogarev-online.ru/2070-1004/article/view/358051
- DOI: https://doi.org/10.33266/2070-1004-2024-4-47-52
- ID: 358051
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Abstract
Summary. The purpose of the study is to develop a concept for the evacuation of victims with trauma requiring emergency surgery in a specialized medical institution in the metropolis.
Materials and methods of research. Our study included 216 patients evacuated from emergency scenes and treated in Moscow hospitals with open craniocerebral injuries and/or internal bleeding.
All patients were divided into two groups: group 1 included patients evacuated to hospitals using the developed algorithms for medical evacuation; group 2 included patients evacuated without using the specified algorithms.
Results of the study and their analysis. The results of treatment of victims with combined trauma/internal bleeding were analyzed, the risks of fatal outcome in such victims were identified, the reasons that slow down the medical evacuation of these patients to the hospital were established, the results of treatment of these patients in hospitals were assessed. It was noted that the creation of algorithms for medical evacuation of such victims in the presence of indications for urgent surgery will allow timely initiation of measures to finally stop bleeding, improve treatment results and reduce mortality by 15%.
About the authors
A. B. Fedin
Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department
Email: cemp75@yandex.ru
Moscow
S. A. Gumenyuk
Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department
Email: cemp75@yandex.ru
Dr. Sc. (Med.), Associate Professor; Director 5/1, bldg. 1, Bol'shaya Sukharevskaya square, Moscow, 129090
V. I. Yarema
Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department
Email: cemp75@yandex.ru
Moscow
References
- URL: https://niioz.ru/moskovskaya-meditsina/gazeta-moskovskaya-meditsina-cito/sobytiya/vse-o-skoroy-pomoshchi-/?ysclid=m0rx1s64o 9600991026 (In Russ.).
- Aleksanin S.S., Gudz’ Yu.V., Rybnikov V.Yu. Kontseptsiya i Tekhnologii Organizatsii Okazaniya Meditsinskoy Pomoshchi Postradavshim v Chrezvychaynykh Situatsiyakh s Travmami Silami i Sredstvami MCHS Rossii = Concept and Technologies of Organizing the Provision of Medical Care to Victims of Emergency Situations with Injuries by the Forces and Means of the Ministry of Emergency Situations of Russia. Monograph. St. Petersburg Publ., 2019. 303 p. (In Russ.).
- Bagnenko S.F., Miroshnichenko A.G., Alimov R.R., Shlyafer S.I. Assessment of the State of Emergency Medical Care in Different Conditions of its Provision in the Russian Federation. Anesteziologiya i Reanimatologiya = Anesthesiology and Resuscitation. 2021;2:124-130 (In Russ.).
- Endeshaw D., Delie A.M., Adal O., et al. Mortality and its Predictors in Abdominal Injury across Sub-Saharan Africa: Systematic Review and Meta-Analysis. BMC Emerg. Med. 2024;24;1:57.
- Vishnevskiy A.G. Smertnost’ ot Vneshnikh Prichin v Rossii s Serediny XX Veka = Mortality from External Causes in Russia Since the Mid-20th century. Monograph. Moscow, Vysshaya Shkola Ekonomiki Publ., 2017. 448 p. (In Russ.).
- Goncharov S.F., Titov I.G., Bobiy B.V., Akin’shin A.V. Main Results of the Activities of the All-Russian Center for Medical Research “Zashchita” of the Federal Medical and Biological Agency of Russia in 2020 and Tasks for 2021. Meditsina Katastrof = Disaster Medicine. 2021;1:10-17 (In Russ.).
- Nikonova Ye.M., Oberemok S.Ye., Shatokhina Ya.P. Problems of Calling an Ambulance: the Rights and Responsibilities of Both the Ambulance Service and the Patient. Vestnik Luganskogo Natsional’nogo Universiteta Im. V. Dalya = Bulletin of the Luhansk National University named after V.Dal’. 2019;23;5:121-123 (In Russ.).
- Petrikov S.S., Khubutiya M.SH., Rogal’ M.L., et al. Creation and Development of the State Emergency Medical Care Service and Disaster Medicine Service in Russia (on the 100th Anniversary of the N.V.Sklifosovsky Institute of Emergency Care). Zhurnal im. N.V. Sklifosovskogo «Neotlozhnaya Meditsinskaya Pomoshch’» = N.V.Sklifosovsky Journal “Emergency Medical Care”. 2023;12;3:509-527 (In Russ.).
- Dodwad S.M., Mueck K.M., et al. Surg. Infect. (Larchmt). 2024;25;1:19-25.
- Huang F.D., Yeh W.B., et al. Early Management of Retained Hemothorax in Blunt Head and Chest Trauma. World J. Surg. 2018;42;7:2061–2066.
- Wiggers C.J., WerleView J.M., et al. Exploration of a Method for Standardizing Hemorrhagic Shock. Experimental Biology and Medicine. 1942;49;4. URL: https://doi.org /10.3181/00379727-49-13645.
- Likhterman L.B. The Doctrine of the Consequences of Traumatic Brain Injury. Neyrokhirurgiya = Neurosurgery. 2019;21;1:83-89 (In Russ.).
- Sominov A.B., Lebedev I.A., Dreval’ O.N., et al. Prevalence and Structure of Traumatic Brain Injury in a Number of Constituent Entities of the Russian Federation. Ural’skiy Meditsinskiy Zhurnal = Ural Medical Journal. 2020;193;10:156-159 (In Russ.).
- Strizheletskiy V.V., Yadykin A.A., Ivanov I.G., et al. Spontaneous Retroperitoneal Hematoma in Patients with COVID-19: the First Clinical Experience. Endoskopicheskaya Khirurgiya = Endoscopic Surgery. 2021;27;5:42-47 (In Russ.).
- Bloom B.A., Gibbons R.C. Focused Assessment with Sonography for Trauma. Treasure Island (FL). Stat Pearls Publ., 2020. [URL]: PMID: 29261902.
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