Evaluation of time factor of providing emergency medical care for victims of road traffic accidents on the federal highway M-8 “Kholmogory”

Relevance. Road traffic injuries, having the nature of a global epidemic, pose an urgent medical and social problem. Among victims of road traffic accidents, mortality is many times higher than that of victims who were injured under other circumstances. The survival of victims in road accidents depends on the timeliness, quality and capacity of emergency medical care, on the competence of care providers and on the effectiveness of the organization of this type of medical care at the prehospital stage.

Intention – to estimate the time of providing emergency medical care for victims on the federal highway M-8 “Kholmogory” on the territory of the Arkhangelsk region.

Methodology. The material of the study was a sample of 906 medical records (form 003/y) for victims of the road accidents, who were admitted to hospitals of Arkhangelsk region in the period from 01.01.2012 to 31.12.2018. Registered forms were selected according to the criteria of retrospective full-design documentary observation. Differences between the observation groups were considered statistically significant at level of p < 0.05 as adjusted for multiple comparisons (Bonferroni correction).

Results and Discussion. Time factor of emergency medical care on the federal highway M-8 “Kholmogory” in 3 medical districts of the Arkhangelsk region was characterized. The ambulance teams arrived at the place of accident within 20 minutes in 30 (3.3 %) cases, from 21 to 40 minutes – in 345 (38.1 %) cases, from 41 to 60 minutes – in 299 (33 %) cases and over a period of more than 1 hour – in 232 (25.6 %) cases. There was no statistically significant difference in time of providing emergency medical care for victims with isolated, multiple and concomitant traumas.

Conclusion. It was shown that in 74.4 % of cases (p < 0.001) ambulance arrived at the site of a road accident earlier than 60 minutes. The largest number of cases of providing emergency medical care exceeding 60 minutes was noted in the Arkhangelsk Medical District – 28.4 % (p < 0.013), and the lowest –in the Severodvinsk Medical District – 18.3 %. In more than a quarter (26 %) of cases the emergency medical care was provided for victims with polytrauma beyond the 60 minutes period, with most of them in the Arkhangelsk Medical District (p = 0.004).

1. Aleksanin S.S., Rybnikov V.Ju., Evdokimov V.I. [et al.]. Metodologicheskie aspekty sozdanija mobil’nyh medicinskih brigad MChS Rossii po likvidacii posledstvij chrezvychajnyh situacij [Methodological aspects of creating mobile medical teams at Russian emercom for mitigating consequences of emergency situations]. Ekologija cheloveka [Human Ecology]. 2017. N 11. Pp. 3–9. (in Russ.)

2. Baranov A.V., Kljuchevskij V.V., Men’shikova L.I. [et al.]. Ocenka okazanija medicinskoj pomoshhi na dogospital’nom jetape u postradavshih s politravmoj v dorozhno-transportnyh proisshestvijah Arkticheskoj zony Rossijskoj Federacii [Assessment of the provision of medical care at the prehospital stage for victims with polytrauma in road traffic accidents in the Arctic zone of the Russian Federation]. Politravma [Polytrauma]. 2018. N 2. Pp. 11–16. (in Russ.)

3. Barachevskij Ju.E., Kljuchevskij V.V., Jur’eva M.Ju. [et al.]. Analiz mediko-sanitarnyh posledstvij dorozhno-transportnyh katastrof na uchastke federal’noj avtomobil’noj dorogi M-8 “Holmogory” [Analysis of Road Traffic Catastrophes on Federal Motorway M-8 “Kholmogory”]. Medicina katastrof [Disaster medicine]. 2015. N 3. Pp. 19–20. (in Russ.)

4. Varakina Zh.L., Sannikov A.L. “Travmaticheskaja jepidemija” v sovremennoj Rossii (na primere Arhangel’skoj oblasti) [“Traumatic epidemic” in modern Russian Federation (on the example of the Arkhangelsk region)]. Arhangel’sk, 2018. 198 p. (in Russ.)

5. Kavalerskij M.G. Optimizacija okazanija medicinskoj pomoshhi postradavshim v dorozhno-transportnyh proisshestvijah na primere Krasnogorskogo municipal’nogo rajona [Optimization of the provision of medical assistance to victims of traffic accidents by the example of the Krasnogorsk municipal district]: Abstract dissertation PhD Med. Sci. Moskva. 2011. 26 p. (in Russ.)

6. Koldin A.V. Kompleksnaja ocenka jeffektivnosti organizacii okazanija jekstrennoj medicinskoj pomoshhi postradavshim v dorozhno-transportnyh proisshestvijah v dogospital’nom periode [Comprehensive assessment of the effectiveness of the organization of emergency medical care for victims of road traffic accidents in the prehospital period]: Abstract dissertation PhD Med. Sci. Moskva. 2010. 24 p. (in Russ.)

7. Matveev R.P., Gudkov S.A., Bragina S.V. Struktura shokogennoj travmy u postradavshih, postupivshih v travmocentr pervogo urovnja goroda Arhangel’ska [Structure of shock-producing trauma in patients admitted to I level injury care center in Arkhangelsk]. Ekologija cheloveka [Human Ecology]. 2016. N 7. Pp. 11–16. (in Russ.)

8. Petchin I.V. Optimizacija okazanija medicinskoj pomoshhi postradavshim v dorozhno-transportnyh proisshestvijah v monogorode Arkticheskoj zony Rossii [Optimization of medical care for victims of road traffic accidents in the Monotown of the Arctic zone of Russia]: Abstract dissertation PhD Med. Sci. Moskva. 2019. 27 p. (in Russ.)

9. Petchin I.V., Barachevskij Ju.E., Men’shikova L.I., Baranov A.V. Sistema okazanija jekstrennoj medicinskoj pomoshhi postradavshim v dorozhno-transportnyh proisshestvijah na dogospital’nom jetape v Arkticheskoj zone Rossijskoj Federacii [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]. Eekologija cheloveka [Human Ecology]. 2018. N 12. Pp. 12–19. (in Russ.)

10. Peshkun A.V. Dorozhno-transportnyj travmatizm v Moskovskoj oblasti i sovershenstvovanie okazanija skoroj medicinskoj pomoshhi postradavshim v dogospital’nom periode [Road traffic injuries in the Moscow region and the improvement of emergency medical care for victims in the prehospital period]: Abstract dissertation PhD Med. Sci. Moskva. 2013. 24 p. (in Russ.)