CLINICAL PARALLELS AND FEATURES OF EXPLOSIVE MINE INJURY AND THE TERRORIST ACT IN THE ST. PETERSBURG METRO

Relevance. The realities of modern life demonstrate the likelihood of occurrence of man-made emergencies and terrorist acts. In 2000–2017 In Russia, 120 major terrorist acts and 118 emergency situations related to explosions in buildings, communications, and technological equipment of industrial and agricultural facilities were taken into account. In these terrorist acts, 1570 people were killed and 5118 people were injured; during explosions at industrial facilities 725 and 1919 people, respectively, were killed and injured.

Intention. The analysis of explosions in mines and explosive trauma during the terrorist act in the subway of St. Petersburg in 2017 was carried out. Common signs and problems of medical care to victims were determined.

Methodology. The general signs of explosive injury are identified, the nosological forms are compared in the victims. The volume of medical care at the prehospital stage and the nature of the treatment and diagnostic measures at hospital admission were assessed. The significance of first aid in the golden hour interval has been determined.

Results and discussion. According to the results of the study, the feasibility of treating victims of industrial accidents and terrorist acts in multidisciplinary medical institutions with the mandatory inclusion of rehabilitation measures in the treatment algorithm is substantiated. The analyzed data revealed a problem in determining the severity of the condition of patients with combined thermomechanical injury, the feasibility of further developing an integrated index for determining the severity of injury for victims of this category, the development of which is carried out at the I.I. Dzhanelidze Research Institute of Emergency Care.

Conclusion. It is shown that the planning and creation of reserves, their nomenclature and volumes should be coordinated with dedicated medical professionals and undergo regular adjustments.

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