Organization of medical care for the victims In road accidents with maxillofacial trauma

Ластовецкий,; Lastovetskiy, A.; Lebedev,; Lebedev, M. V.; Аверьянова,; Averyanova, D.; Айвазян,; Ayvazyan, Aram

doi:10.12737/article_59156294138399.26231860

“…[1]. При этом доля пострадавших с травмами лицевого и мозгового отделов черепа составляет 23,9% [2,3]. Челюстно-лицевые повреждения нередко сочетаются с повреждениями жизненно важных органов, в том числе органов зрения [4][5][6].…”

Section: контактная информацияunclassified

Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

Maslyakov¹,

Barachevsky²,

Pavlova³

et al. 2021

Disaster Medicine

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The aim of the study is to investigate the organizational aspects of providing emergency medical care to victims of road traffic accidents with injuries of the facial skeleton. Materials and research methods. The study included 75 victims of road accidents that occurred in the city of Saratov in 2010–2019. In the total number of injured men – 42 (56.0%), women – 33 (44.0%). The age of the victims is 18–70 years, the average age is (37.5 ± 6.0) years. The study did not include: victims under the age of 18; victims with neck trauma, damage to the cerebral section of the skull and to other parts of the body. All the victims got medical assistance from the personnel of the ambulance brigades. Covering sheets, outpatient cards and medical records were used as primary documentation. Study criteria: time during which the ambulance was provided; who provided emergency medical care; correctness of its rendering. Research results and their analysis. Analysis of injuries to the facial skeleton showed: injuries of the facial skeleton are an actual pathology in victims of road traffic accidents in Saratov; victims of road accidents got open and closed injuries of the facial skeleton. With closed injuries, moderate and severe injuries were found in 23 (30.7%) victims, with open injuries — in 19 (23.3%) victims; majority (90.7%) of victims of road accidents got high-quality emergency medical aid in a timely manner. In 9.3% of cases, the quality of care was insufficient due to an incorrect assessment of severity of the victims’ condition and, as a consequence, due to non-fulfillment of anti-shock measures; scope of the provision of emergency medical care to victims of road accidents included temporary hemostasis, treatment of wounds and anti-shock measures; from the accident site were evacuated: to level III trauma centers — 24.0% of victims; to level II — 48.0; to level I trauma centers — 28.0% of victims; complications in the form of purulent-septic processes were observed in 16.0% of victims; competent and timely implementation of anti-shock measures determined an insignificant mortality rate — 4.0%.

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Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

Maslyakov¹,

Barachevskii²,

Pavlova³

et al. 2021

Вопросы Безопасности

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For achieving the set goal, the author conducted a retrospective research. The study involved the victims of road traffic accidents aged from 18 to 70 years, who suffered maxillofacial injuries; total of 150 victims over the period from 2010 to 2020. The selected topic is a pressing medical and social problem. It is observed that the number of close and open injuries received in road traffic accidents is roughly the same. However, the open injuries qualified as moderate and severe were determined in 45 (30%) cases. The data analysis indicates that in 30.7% of cases, first aid was rendered by bystanders and/or relatives of the victims, who do not have the necessary competence and knowledge for providing such aid; in another 19.3% of cases, first aid was rendered by operational services personnel (traffic police, fire and rescue divisions), who have the necessary knowledge and skills. The absence of necessary skills for rendering first aid to the victims of road traffic accident with such type of injury explains high percentage of mistakes, which amounted to 41.3%. At the same time, the operational services personnel demonstrated good results in rendering first aid; no mistakes were detected. The analysis of the common mistakes indicates the application of physical efforts in the process of removing victims from the vehicle; no special means while the victim's head was not fixated, which causes additional injuries. In six (4.0%) cases, the spoor condition of the victims was mistaken with comatose.

show abstract

Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

Maslyakov¹,

Barachevskii²,

Pavlova³

et al. 2021

Вопросы Безопасности

0

View full text Add to dashboard Cite

For achieving the set goal, the author conducted a retrospective research. The study involved the victims of road traffic accidents aged from 18 to 70 years, who suffered maxillofacial injuries; total of 150 victims over the period from 2010 to 2020. The selected topic is a pressing medical and social problem. It is observed that the number of close and open injuries received in road traffic accidents is roughly the same. However, the open injuries qualified as moderate and severe were determined in 45 (30%) cases. The data analysis indicates that in 30.7% of cases, first aid was rendered by bystanders and/or relatives of the victims, who do not have the necessary competence and knowledge for providing such aid; in another 19.3% of cases, first aid was rendered by operational services personnel (traffic police, fire and rescue divisions), who have the necessary knowledge and skills. The absence of necessary skills for rendering first aid to the victims of road traffic accident with such type of injury explains high percentage of mistakes, which amounted to 41.3%. At the same time, the operational services personnel demonstrated good results in rendering first aid; no mistakes were detected. The analysis of the common mistakes indicates the application of physical efforts in the process of removing victims from the vehicle; no special means while the victim's head was not fixated, which causes additional injuries. In six (4.0%) cases, the spoor condition of the victims was mistaken with comatose.

show abstract

Organization of medical care for the victims In road accidents with maxillofacial trauma

Cited by 3 publications

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Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton

Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

Analysis of the results of rendering first aid in case of maxillofacial injuries suffered in road traffic accidents

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