Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

Баранов, А. В.; Barachevsky, Yu E

doi:10.25016/2541-7487-2020-0-2-5-9

Cited by 2 publications

(1 citation statement)

References 3 publications

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“…The recommended time for ambulance arrival at the scene ≤ 20 min is not always met. In the Arkhangelsk region (north of Russia), the ambulance team arrives at the scene in 20 min only in 3.3% of cases, and the “golden hour” included only 74.4% of accidents [ 29 ]. There are three classes of ambulances: class A is for non-emergency use; class B is physician-staffed for medical emergencies; class C is physician-staffed for emergency resuscitation and multiple trauma.…”

Section: The Russian Trauma Systemmentioning

confidence: 99%

Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa

et al. 2021

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As emerging countries, China, Russia, and South Africa are establishing and/or improving their trauma systems. China has recently established a trauma system named “the Chinese Regional Trauma Care System” and covered over 200 million populations. It includes paramedic-staffed pre-hospital care, in-hospital care in certified trauma centers, trauma registry, quality assurance, continuous improvement and ongoing coverage of the entire Chinese territory. The Russian trauma system was formed in the first decade of the twenty-first century. Pre-hospital care is region-based, with a regional coordination center that determines which team will go to the scene and the nearest hospital where the victim should be transported. Physician-staffed ambulances are organized according to three levels of trauma severity corresponding to three levels of trauma centers where in-hospital care is managed by a trauma team. No national trauma registry exists in Russia. Improvements to the Russian trauma system have been scheduled. There is no unified trauma system in South Africa, and trauma care is organized by public and private emergency medical service in each province. During the pre-hospital care, paramedics provide basic or advanced life support services and transport the patients to the nearest hospital because of the limited number of trauma centers. In-hospital care is inclusive with a limited number of accredited trauma centers. In-hospital care is managed by emergency medicine with multidisciplinary care by the various specialties. There is no national trauma registry in South Africa. The South African trauma system is facing multiple challenges. An increase in financial support, training for primary emergency trauma care, and coordination of private sector, need to be planned.

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Section: The Russian Trauma Systemmentioning

confidence: 99%

Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa

et al. 2021

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Interdepartmental Interaction for Road Accident Consequences Elimination

MELNIKOVA¹,

SHKATOVA²

2021

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Objective: Analysis of cooperation between the Ministry of Emergency Situations (MChS) and Emergency Medical Services (EMS) personnel in the coordination of efforts to eliminate the consequences of road traffic accidents (RTA) in the city of Izhevsk, Udmurtia, Russia. Methods: 206 employees of the MChS of Izhevsk, who participated in road accident consequences elimination in 2018, were questioned. Data were extracted from 5052 MChS statistical forms «Card 1/RTA» from 2011 to 2017. Statistical analysis of the data included the calculation of extensive indicators, the weighted arithmetic mean, the calculation of the z-test, smoothing the time series using a moving average, the calculation of the growth rate using the SPSS 22 and Microsoft Excel 2010 statistical software package. The level of statistical significance was taken as p<0.05. Results: The social survey analysis of the MChS personnel showed that in 80.1% of cases, emergency teams arrived at the accident scene on time. Over the 7-year observation period, according to the statistical forms «Card 1/RTA», in 52.6±3.2% of cases, the ambulance teams arrived at the accident scene after the MChS employees. The questionnaire results on the waiting periods (up to 15 minutes) for emergency teams by the MChS employees match the records data (p>0.05). In 68.5% of cases, one ambulance team attended one victim; in 17.1% and 5.7%, two and three victims, respectively. However, there have been documented cases when one emergency team attended more than 4 casualties of road accidents. Conclusion: This study addressed one of the aspects of interdepartmental relations; however, some issues remain unresolved. In some cases, it was manifested in uncoordinated interactions between the EMS and the MChS: non-simultaneous arrival of representatives of two departments, insufficient number of emergency teams at the accident scene, incoherence between services at the accident scene. Keywords: Ministry of Emergency Situations, ambulance, interagency cooperation, traffic accident, rescue work.

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Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

Cited by 2 publications

References 3 publications

Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa

Management of severe trauma worldwide: implementation of trauma systems in emerging countries: China, Russia and South Africa

Interdepartmental Interaction for Road Accident Consequences Elimination

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