The System of Providing Emergency Medical Care to the Victims of the Road Traffic Accidents at the Prehospital Phase in the Arctic Zone of the Russian Federation

Abstract

The review of domestic and foreign research on leveling problematic of medical and sanitary consequences of traffic accidents has been carried out. Scientific articles were extracted from specialized scientific search systems (eLibrary.ru, PubMed.gov, Scopus Database) using keywords: emergency medical care, prehospital phase, road traffic injuries and road traffic accidents. Increase in the frequency of road traffic accidents (RTA) in absolute number of injured persons, mainly with polytrauma, caused by high-energy collisions of motor vehicles on highways require the development of new methods and forms of providing medical care. The aim of the study was to identify and analyze the ways of improvement of emergency medical care system for victims of RTA at the pre-hospital phase of medical evacuation. New methods in this sphere have been suggested. The most relevant ways to improve the system of emergency medical care to the RTA victims are the following: improvement of professional competence of specialists providing first aid to RTA victims; cooperation optimization of Emergency Medicine Service with similar forces of departmental healthcare and other regional emergency services; creation conditions for immediate movement of emergency teams to the scene of a traffic accident for provision victims medical care; standards optimization on providing medical care to the victims of traffic accidents at the pre-hospital phase of medical evacuation; increase of personnel training, working in the regional operations control centers of emergency medicine; emergency wards and leading municipal hospitals by means of conducting incident command team exercise; renovation of vehicle fleet for aerovac of RTA victims to widen opportunities to provide specialized medical care. These proposals, in our opinion, are the most important ways for development of emergency system provision to RTA victims. Its implementation will allow to reduce mortality in prehospital phase.

Inter-Hospital Medical Evacuation of Victims of Road Accidents on the Federal Highway M-8 "Kholmogory" in the Arkhangelsk Region

“…Пострадавшие с политравмой в обязательном порядке и в кратчайшие сроки -не позднее 24 ч с момента её получения -должны быть госпитализированы в травмоцентры I уровня или в федеральные специализированные лечебные учреждения, поскольку выполнение лечебнодиагностических мероприятий таким контингентам в центральных районных больницах (ЦРБ) часто приводит к росту летальности [1][2][3]. Проведение межбольничной медицинской эвакуации пострадавших с тяжелыми высокоэнергетическими повреждениями требует четкого и отлаженного взаимодействия всех заинтересованных структур субъекта Российской Федерации (далее -субъект) с обязательным соблюдением установленной в данном субъекте маршрутизации и проведением мониторинга состояния пострадавших [4 -7].…”