Organization of the provision of specialized medical care to injured in road accidents on the federal highway M-8 «Kholmogory» in the Arkhangelsk region during the hospital period
https://doi.org/10.25016/2541-7487-2021-0-3-18-25
Abstract
Relevance. Road traffic injuries are a global pandemic and one of the leading causes of death in the population. Federal highway M-8 “Kholmogory” is the leading transport artery of the European North of the country; has pronounced features inherent in all northern roads: significant distances between settlements and difficult road conditions, which together increase the risk of road traffic accidents (RTA) with medical consequences, and also seriously complicate the process of providing medical care to injured.
Intention. To analize provision of specialized medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period and propose improvements.
Methodology. Domestic and foreign publications on the organizational approaches to the provision of specialized medical care to injured in road traffic accidents during the hospital period were analyzed based on specialized scientific search engines (eLibrary, PubMed, Scopus).
Results and Discussion. Problems in the organization of medical care to injured in RTA on the federal highway M-8 “Kholmogory” in the Arkhangelsk region during the hospital period were identified and systematized. The ways of its improvement are outlined.
Conclusion. Implementation of the measures proposed will reduce medical and sanitary consequences, concomitant road traffic injuries on the federal highway, including disability and mortality in the medium and long term.
About the Authors
A. V. BaranovRussian Federation
Alexander Vasilievich Baranov – PhD Med. Sci., traumatologist-orthopedist, leading researcher; researcher
51, Troitsky Ave., Arkhangelsk, 163001, Russia
8, Lunacharsky Ave., Cherepovets, Vologda Region, 162612, Russia
S. F. Goncharov
Russian Federation
Sergei Fedorovich Goncharov – Dr. Med. Sci. Prof., Academician of the Russian Academy of Sciences; Head of the Department of Disaster Medicine
46, Zhivopisnaya Str., Moscow, 123098, Russia
bld. 1, 2/1, Barrikadnaya Str., Moscow, 125993, Russia
E. A. Mordovsky
Russian Federation
Edgar Arturovich Mordovsky – Dr. Med. Sci. Prof., Head of the Department of Public Health, Health Care and Social Work
51, Troitsky Ave., Arkhangelsk, 163001, Russia
A. S. Samoylov
Russian Federation
Aleksandr Sergeevich Samoylov – Dr. Med. Sci. Prof., Corresponding member of the Russian Academy of Sciences, General Director
46, Zhivopisnaya Str., Moscow, 123098, Russia
References
1. Artyomov A.N., Vorob’yov I.I., Balabaev G.A. Analiz organizacii likvidacii mediko-sanitarnyh posledstvij dorozhnotransportnogo proisshestvija – chrezvychajnoj situacii na federal’noj avtomobil’noj doroge na granice dvuh oblastej [Analysis of organization of liquidation of medical and sanitary consequences of road traffic accident as emergency situation on federal highway on the border between two adjacent oblasts]. Medicina katastrof [Disaster medicine]. 2017. N 1. Pp. 18–20. (In Russ.)
2. Baranov A.V. Analiz dorozhno-transportnyh proisshestvij s medicinskimi posledstvijami na federal’noj avtodoroge M-8 “Holmogory” v Arhangel’skoj oblasti [Analysis of road accidents with medical consequences on the federal highway M-8 “Kholmogory” in the Arkhangelsk region] Politravma [Polytrauma]. 2020. N 2. Pp. 15–20. (In Russ.)
3. Barachevsky Ju.E., Klyuchevskiy 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. Bashmakova E.P., Vasil’ev V.V., Koz’menko S.Ju. Transportno-infrastrukturnyj potencial Rossijskoj Arktiki [Transport and infrastructure potential of the Russian Arctic]. Apatity. 2013. 279 p. (In Russ.)
5. Varakina Zh.L., Sannikov A.L. «Travmaticheskaja jepidemija» v sovremennoj Rossii (na primere Arhangel’skoj oblasti) [“Traumatic epidemic” in modern Russia (on the example of the Arkhangelsk region)]. Arhangel’sk. 2018. 198 p. (In Russ).
6. Dzucov N.K., Mearago Sh.L. Medicinskie aspekty transportnyh katastrof na avtomobil’nom transporte (soobshhenie pjatoe) [Medical aspects of transport catastrophes on road transport (fifth message)]. Skoraja medicinskaja pomoshh’ [Emergency medical care]. 2017. N 3. Pp. 58–63. (In Russ.)
7. Didyk V.V., Rjabova L.A. Monogoroda rossijskoj Arktiki: strategii razvitija (na primere Murmanskoj oblasti) [Singleindustry towns of the Russian Arctic: development strategy on the case study of the cities/towns in the Murmansk oblast]. Jekonomicheskie i social’nye peremeny: fakty, tendencii, prognoz [Economic and Social Changes: Facts, Trends, Forecast]. 2014. N 4. Pp. 84–99. DOI: 10.15838/esc/2014.4.34.8. (In Russ.)
8. Klipina T.Y., Zaynul’dinova V.A., Krasnoyarova V.F. Optimizacija okazanija medicinskoj pomoshhi pri dorozhnotransportnom travmatizme na dorogah respubliki Burjatija [Road traffic injuries and ways to optimize health care on the roads of the republic of Buryatia]. Bjulleten’ Vostochno-sibirskogo nauchnogo centra SO RAMN [Acta biomedica scientifica (East siberian biomedical journal)]. 2010. N 3. Pp. 317–321. (In Russ.)
9. Koncepcija organizacii medicinskoj pomoshhi postradavshim v dorozhno-transportnyh proisshestvijah na federal’noj avtomobil’noj doroge M-60 «Ussuri» Habarovsk-Vladivostok na territorii Habarovskogo kraja na 2010–2012 gody [The Concept of Medical Assistance to People Injured in Traffic Accidents on Federal Road M-60 “Ussuri” Khabarovsk – Vladivostok in the Khabarovsk Territory for 2010–2012]. Zdravoohranenie Dal’nego Vostoka [Public health of the Far Eas]. 2010. N 3. Pp. 12–21. (In Russ.)
10. 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 1st level injury care center in Arkhangelsk]. Ekologiya cheloveka [Human Ecology]. 2016. N 7. Pp. 11–16. DOI: 10.33396/1728-0869-2016-7-11-16. (In Russ.)
11. Mordovsky E.A., Solov’ev A.G., Vyaz’min A.M. [et al.]. Potreblenie alkogolja nakanune smerti i smertnost’ ot travm, otravlenij i drugih posledstvij dejstvija vneshnih prichin [Alcohol consumption the day before death and mortality from traumas, intoxications and other effects of external causes]. Ekologiya cheloveka [Human Ecology]. 2014. N 9. Pp. 24–29. (In Russ.)
12. 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.)
13. Petchin I.V., Barachevskiy 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]. Ekologiya cheloveka [Human Ecology]. 2018. N 12. Pp. 12–19. DOI: 10.33396/1728-0869-2018-12-12-19. (In Russ.)
14. Popov V.P., Rogozhina L.P., Kashevarova L.R. Okazanie jekstrennoj medicinskoj pomoshhi postradavshim v dorozhnotransportnyh proisshestvijah na federal’nyh avtodorogah [Emergency medical care delivery to casualties of road traffic accidents on federal roads]. Medicina katastrof [Disaster medicine]. 2017. N 3. Pp. 22–25. (In Russ.)
15. Ul’janov A.A., Gromut A.A., Fed’ko R.V. Organizacija okazanija medicinskoj pomoshhi postradavshim v dorozhnotransportnyh proisshestvijah vne naselennyh punktov v Hanty-Mansijskom avtonomnom okruge – Jugre [Organization of medical care delivery to victims of road traffic accidents outside boundaries of inhabited areas in Khanty-Mansi autonomous okrug – Yugra]. Medicina katastrof [Disaster medicine]. 2017. N 4. Pp. 19–21. (In Russ.)
Review
For citations:
Baranov A.V., Goncharov S.F., Mordovsky E.A., Samoylov A.S. Organization of the provision of specialized medical care to injured in road accidents on the federal highway M-8 «Kholmogory» in the Arkhangelsk region during the hospital period. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2021;(3):18-25. (In Russ.) https://doi.org/10.25016/2541-7487-2021-0-3-18-25