The Lack of First Aid Skills as a Contributing Factor of High Road Traffic Fatality Rates
in the Russian Federation

Popov, A. V.; Kaimakova, U. M.; Стецкий, Н. П.; Rebro, I.V.; Мустафина, Д. А.

doi:10.35627/2219-5238/2020-325-4-43-47

Cited by 7 publications

(1 citation statement)

References 13 publications

(19 reference statements)

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“…Такую помощь оказывают врачебные и фельдшерские бригады СМП [8]. Одна из причин высокой смертности в ДТП -низкая грамотность участников дорожного движения, не обладающих или обладающих в недостаточной степени навыками оказания первой помощи пострадавшим [9][10][11][12]. Организационным аспектам оказания медицинской помощи пострадавшим в ДТП уделяется большое внимание, однако, несмотря на это, данная проблема далека от своего решения и требует дальнейшего исследования [13][14][15].…”

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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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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Readiness of drivers to provide first aid depending on driving experience

Maslyakov

Sidelnikov

Savchenko

et al. 2022

vmirvz

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Introduction. Every driver of a vehicle must be able to provide first aid (FA). Ignorance of the rules of FA can lead to untimely or poor quality of its provision and consequently to an increase in disability and mortality of people involved in a road traffic accident (RTA). Purpose: to assess the level of knowledge about the rules for providing FA, depending on the driving experience. Materials and methods. An anonymous survey was conducted among drivers of vehicles in the city of Krasnoarmeysk. The survey involved 85 respondents who were divided into three groups. Group 1 (n = 30) – drivers with less than 2 years of experience; group 2 (n = 30) – drivers with experience from 10 to 15 years; group 3 (n = 25) – drivers with more than 25 years of experience. In the course of the survey, the level of knowledge about FA was assessed, the readiness to provide it and experience in this, possible reasons for the low level of knowledge about FA and possible ways to improve it. Results. Group 1 drivers are more informed (96,7 %) regarding the designation of the place of an RTA and the rules for calling an ambulance. Respondents of the 1st group also remember best and can put into practice FA. There is a decrease in the level of theoretical and practical knowledge, depending on the increase in driving experience. Respondents of group 1 considered the lack of practice on mannequins in driving schools to be the reason for the decrease in knowledge, drivers of groups 2 and 3 – the lack of updating old knowledge about FA; also, some drivers pointed to the low level of education in driving schools. The higher the driving experience and the lower the level of knowledge about FA, the higher the desire of drivers to increase the level of knowledge and make classes or courses to improve them mandatory and regular. Conclusion. Young drivers have a fairly good level of theoretical and practical knowledge about the provision of FA, drivers with more than 10–15 years of experience have a rather low level of knowledge. Many drivers will not be able to apply this knowledge in life on their own. Therefore, in our opinion, it is necessary to introduce mandatory regular courses or classes in order to increase the level of knowledge about FA.

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Оrganizational aspects of primary health care for personal skeleton damage caused by road traffic accidents

et al. 2021

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The purpose of the study. Study the organizational aspects of providing primary health care for victims with the facial department of the skeleton as a result of traffic accidents. Materials and methods. To achieve this goal, a retrospective study was conducted. The work included victims of road accidents with damage to the facial part of the skull between the ages of 18 and 70 years. In total, 150 victims were included in the study between 2000 and 2019. Results of the study and their analysis. The study shows that injuries to the facial skeleton as a result of traffic accidents are relevant. As a result of the study, it was found that as a result of an accident, there is approximately the same number of closed and open injuries. At the same time, open injuries, which could be regarded as medium and severe, were identified in 45 (30%) cases. In addition, data analysis showed that in 30,7% of observations, first aid was provided by random witnesses and/ or relatives of victims who did not have the skills and necessary knowledge to provide such assistance. In addition, an additional 19,3 per cent of first aid was provided by staff of various services who have some knowledge and skills in first aid. This is due to the fact that in the first group, first aid was provided faster than in the second group. The lack of the necessary skills to provide first aid to victims with such an injury can be explained by the rather high percentage of errors, which in the first group amounted to 18,7%, while employees of various services showed good results in providing such assistance and errors were not noted. Key words: primary health care, damage to the facial skeleton, traffic accident.

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The Lack of First Aid Skills as a Contributing Factor of High Road Traffic Fatality Rates in the Russian Federation

Cited by 7 publications

References 13 publications

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

Readiness of drivers to provide first aid depending on driving experience

Оrganizational aspects of primary health care for personal skeleton damage caused by road traffic accidents

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