Road Transportation Injuries on the Federal Highway in the Region with a Low Population Density: Relevance of the Problem and Ways of its Solution

Баранов, А. В.; Mordovsky, E A; Samoylov, A.

doi:10.33266/2070-1004-2021-2-25-28

Cited by 2 publications

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“…Следует отметить, что в северных и восточных «окраинных» регионах страны, для которых характерны низкая плотность населения, значительные расстояния между населенными пунктами и, соответственно, между лечебными медицинскими организациями (ЛМО), дорожно-транспортный травматизм имеет определенные особенности, которые обусловливают необходимость иных подходов к медицинскому обеспечению пострадавших в ДТП [3]. К таким регионам по ряду критериев относится и Алтайский край.…”

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Topical Issues of Providing Medical Assistance to Victims of Road Transport Emergencies in the Altai Krai

Shirokostup¹,

Zimina²

2022

Disaster Medicine

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The aim of the research was: – to elaborate organizational and methodical bases of medical evacuation for the population of the Altai region in cases of traffic accidents including emergency situations, in conditions of healthcare optimization, namely, under the process of merging of the territorial center for disaster medicine with the emergency medical aid station; – to determine starting points for further development of the Emergency Medicine Service of the Altai Krai. Materials and research methods. The statistical data of registration and reporting form no.55 “Information on the Activity of Healthcare Institution (Medical Formation) which took part in liquidation of medical and sanitary consequences of emergencies” of Altai Krai Disaster Medicine Service approved by the Order of the Ministry of Healthcare and Social Development of Russia dated February 3, 2005, no.112, and official statistical data of Altai Krai State Road Safety Department were analyzed. The sample included statistical data for 2019-2021. The study used a set of analytical and statistical methods, which made it possible to process and to analyze the data obtained, to assess the system of medical care and to develop a set of measures to improve the medical evacuation system in Altai Krai using the data about victims of traffic accidents, to predict the duration of their treatment and rehabilitation. The statistical data were processed by means of Statistica 10.0 program complex with the calculation of intensive indices, mean representativeness error (±m) and significance of differences by Fisher’s method. Results of the study and their analysis. The results of the analysis of organizational and methodological bases of medical evacuation of the population of Altai Krai in road traffic accidents in the conditions of optimization of healthcare in 2019-2021 are presented. The prospects for further development of the regional Disaster Medicine Service, directions of interdepartmental planning and conducting of special tactical exercises, which are one of the basic tools ensuring readiness of managers and personnel of territorial medical institutions for actions on liquidation of consequences of traffic accidents and emergencies, were determined. The necessity of training the population and interested persons in rendering first aid, which is carried out within the framework of the work of the training center of disaster medicine, has been substantiated.

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Topical Issues of Providing Medical Assistance to Victims of Road Transport Emergencies in the Altai Krai

Shirokostup¹,

Zimina²

2022

Disaster Medicine

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The system of organizing the provision of medical care to victims in traffic accidents on federal highways in regions of Russia with low population density

Баранов

2022

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. Road traffic injuries are one of the leading non-natural causes of death in the world. The principles of organizing the provision of medical care to victims of road traffic accidents (RTA) should be adapted to the resource capabilities of regional health care systems, as well as the distribution of the resident population across the territory.Intention: To develop and substantiate the principles of a system for organizing the provision of medical care to RTA victims on federal highways in Russian regions with a low average population density.Methodology. The results of our own, domestic and foreign scientific research were reviewed, along with regulatory legal documents on the organization of medical care for RTA victims in various conditions. Articles published in 1990–2021 were selected for analysis. Information sources were searched for using specialized scientific search engines (eLibrary, PubMed, Scopus) with the keywords: “traffic accident”, “traffic injury”, “polytrauma”, “federal highway”, “injured”, “hospital period “. System analysis was used to determine the shortcomings of the existing system of providing medical care to victims of road accidents that occurred on federal highways in the territories of Russian subjects with a low population density. Organizational experiments were used to substantiate and develop measures, the implementation of which will improve the efficiency of providing first aid and medical care to victims of road accidents on federal highways in Russian regions with a low population density.Results and Discussion. A system for organizing the provision of medical care to victims of road accidents on federal highways in the regions of the Russian Federation with a low density of the population in the pre-hospital and hospital periods has been developed and justified; it consists of 4 principles and their organizational measures.Conclusion. The implementation of the model and the principles of the developed system proposed by the author will reduce negative health consequences associated with road traffic injuries on federal highways in Russian regions with low population density.

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Road Transportation Injuries on the Federal Highway in the Region with a Low Population Density: Relevance of the Problem and Ways of its Solution

Cited by 2 publications

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Topical Issues of Providing Medical Assistance to Victims of Road Transport Emergencies in the Altai Krai

Topical Issues of Providing Medical Assistance to Victims of Road Transport Emergencies in the Altai Krai

The system of organizing the provision of medical care to victims in traffic accidents on federal highways in regions of Russia with low population density

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