Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations最新文献

{"title":"Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients","authors":"S. A. Gumenyuk, G. V. Sheptunov, V. I. Potapov","doi":"10.25016/2541-7487-2021-0-2-27-35","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-2-27-35","url":null,"abstract":"Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"2012 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86394120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bone transport over the nail vs Ilizarov method in the treatment of posttraumatic defects of the femur and tibia","authors":"E. Shchepkina, N. L. Solomin, K. L. Korchagin, F. Sabirov","doi":"10.25016/2541-7487-2021-0-2-80-88","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-2-80-88","url":null,"abstract":"Relevance. From the point of view of using the advantages of both external fixation and internal osteosynthesis, the method “Bone transport over the nail” (BTON) deserves attention.Intention: To compare the effectiveness of the BTON and Ilizarov method in the treatment of patients with post-traumatic defects of the long bones of the lower extremities.Methodology. We analyzed 24 BTON cases and 47 cases of defects replacement via the Ilizarov method. The analysis included patients with segmental defects of the tibia, femur and knee joint bone defects complicated by chronic osteomyelitis.Results and Discussion. The external fixation period in BTON group was 3 times less than in the comparison group, as was the external fixation index. In case of monolocal defect replacement, the external fixation period and external fixation index in the BTON group was 4 times less than in the Ilizarov defect replacement group. With bifocal replacement of the defect, the external fixation period was 2.5 times less, and the external fixation index was 2 times less. BTON interventions were associated with complications in 31 cases (129.2 %) vs 82 cases for the Ilizarov method (174.5 %). The most pronounced decrease (3 times) was noted for cases of transosseous elements inflammation.Conclusion. The “Bone transport over the nail” technique reduces the external fixation period by an average of 3 times. This facilitates management of the outpatient phase and reduces the number of complications, especially the pin-tract infection. Cable technique combined with an orthopedic hexapod allows bifocal replacement of extended defects of the distal femur and knee joint applying the apparatus only to the lower leg. Risks of jamming the transported bone fragments by the intramedullary nail are thus excluded. To avoid breaking the traction cable, only designated devices should be used.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88713120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of indicators of injuries in military personnel serving on conscription in the Armed Forces of Russia and the Republic of Belarus (2003–2020)","authors":"V. Evdokimov, D. A. Chernov, P. P. Sivashchenko, A. A. Vetoshkin","doi":"10.25016/2541-7487-2021-0-2-36-51","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-2-36-51","url":null,"abstract":"Relevance. Injury indicators in military personnel reflect injuries and their consequences that occur in a certain period, as a rule, over a year. Injury indicators in the Armed Forces (AF) are important for assessing occupational safety.Intention: To compare injury indicators in military conscripts between the Russian Armed Forces and the Republic of Belarus for 18 years from 2003 to 2020.Methodology. We carried out a selective statistical analysis of medical reports on the health status of personnel and the activities of the medical service according to 3/MED form in military units where at least 80 % of the total number of conscripts of the Armed Forces of Russia and Belarus served. Groups (blocks) of injuries in Chapter XIX “Injuries, poisoning and certain other consequences of exposure to external causes” were agreed with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Injury data were calculated per 1000 military personnel or ‰, mortality rates – per 100 000 military personnel.Results and their Discussion. In the Russian Armed Forces compared to the Belarusian Armed Forces, the average annual injury rates (primary morbidity) of conscripts were (15.91 ± 1.65) ‰ vs (20.23 ± 1.96) ‰, hospitalizations with injuries (14.16 ± 1.29 ) vs (14.50 ± 0.96) ‰, work days lost (303.4 ± 27.0) vs (303.4 ± 27.0) ‰, dismissal due to injuries (0.552 ± 0.066) vs (0.551 ± 0.051) ‰, injury-related mortality (21.96 ± 4.26) vs (24.18 ± 4.29) per 100 000, respectively. As a rule, polynomial trends with high determination coefficients showed a decrease in the levels of injury, hospitalization, work days lost and mortality. Dismissal trends showed decrease in the Russian Armed Forces and increase in the Belarusian Armed Forces. The conscripts of the Armed Forces of Russia and Belarus have a positive statistically significant congruence in indicators of injuries, hospitalizations, work days lost and mortality, which may indicate the influence of the same (unidirectional) factors in the formation of annual indicators. Injuries of the head (Group 1, Chapter XIX by ICD-10), shoulder girdle and upper limbs (Groups 5–7), the area of the hip joint and lower extremities (Groups 8–10), injuries, affecting several areas of the body (Group 11), and the consequences of injuries, poisoning and other external causes (Group 22) are of high military-epidemiological significance for conscripts in the Russian Armed Forces and the Belarusian Armed Forces. These injuries accounted for 78.7 % and 82.8 % of the generalized estimate in the Russian Armed Forces and the Armed Forces of Belarus, respectively.Conclusion. Taking into account the indicators of injuries will allow the medical service to optimize the calculation of forces and assets for treatment and rehabilitation of servicemen with injuries. Injuries are not only a medical problem; it is necessary to involve more extensively military professionals from various services","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82729618","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On the expediency to organize monitoring of the medical and sanitary consequences of road traffic accidents","authors":"S. F. Goncharov, A. Baranov, E. Mordovsky","doi":"10.25016/2541-7487-2021-0-1-31-39","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-1-31-39","url":null,"abstract":"Relevance. Road traffic accidents are a source of significant medical, demographic, social and economic losses. To reduce the volume of medical and sanitary consequences of road accidents, to achieve the targets of the national project “Safe and High-Quality Roads”, it is necessary to further improve the technologies for providing medical care to victims of road accidents at all stages, including their adaptation to the regional characteristics of road traffic traumatism, and the mechanism of interaction between medical organizations performing the functions of trauma centers. This task can be solved provided that a system of information exchange between trauma centers is created, as well as the organization of monitoring of health consequences in road accidents on its basis. To accumulate and analyze information, a polynosological register, a type of distributed database, is to be used.Intention – to substantiate the expediency to organize monitoring of the health consequences of road traffic accidents.Methodology. Regulatory documents were reviewed as well as results of Russian and foreign scientific research of organizational approaches to the provision of specialized medical care to victims of road accidents at the hospital stage, and also algorithms of introducing information technologies into the activities of medical organizations. The search for sources was performed in specialized scientific search systems (eLibrary, National Library of Medicine – PubMed, Scopus etc.).Results and Discussion. The organization of monitoring of the medical and social consequences of road traffic accidents at the level of the territories of the Russian Federation has been substantiated (including its purpose, tasks, coordinators and implementers). The directions of using the monitoring results were determined.Conclusion. Monitoring of medical and social consequences of road traffic accidents will provide a reliable assessment of their scope in the regions of the country. Besides, health authorities will get reliable information to develop effective measures for reducing medical, demographic, social and economic losses associated with road traffic accidents.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"2 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81160551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Methodical approach to determining permissible time limits of intermittent carbon monoxide exposure in rescuers","authors":"D. V. Myasnikov, P. Avitisov, A. Zolotukhin, M. Barinov","doi":"10.25016/2541-7487-2021-0-1-82-88","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-1-82-88","url":null,"abstract":"Relevance. Current operation time limits under hazardous chemical conditions (“emergency regulations”) have been developed mainly for a limited number of emergency situations occurring in spacecraft, submarines or other specific objects. At the same time, many emergencies accompanied by large-scale releases of toxic combustion products from various materials and compounds into the environment are not limited to these facilities. Therefore, risks associated with toxic effects of chemicals should be predicted, since permissible time limits with adequate performance of personnel under certain chemical exposures are used for individual protection (time-based protection).Intention: On the basis of physiological aspects, the peculiarities of the work performed by rescuers and the requirements for organizing and conducting emergency rescue operations, to propose a methodical approach to determining the permissible time for rescuers in conditions of intermittent carbon monoxide release.Methodology. The scientific works and results of experiments in the research area were analyzed. Systematization and generalization of empirical and theoretical data, traditional analysis of documents and publications were used with the least squares approximation.Results and Discussion. Specific effects of various carbon monoxide concentrations are shown for different exposure times. Critical concentrations and exposure times are revealed, functional relationships between permissible time of operation and carbon monoxide concentrations are determined. Carboxyhemoglobin formation and effects were taken into account.Conclusion. The data given in the article are an important basis for organizing and conducting emergency rescue operations at increased concentrations of carbon monoxide.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"441 1","pages":"82-88"},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77837278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of time to emesis data for primary triage of radiation accident victims","authors":"V. Soloviev, A. Samoilov, A. O. Lebedev, M. Sedankin, E. Gudkov","doi":"10.25016/2541-7487-2021-0-1-14-21","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-1-14-21","url":null,"abstract":"Relevance. The relevance of the study is due to the risk of developing large-scale radiation accidents with a large number of victims, who will need primary medical triage and early prediction of the severity of injury for correct routing from the source of sanitary losses.Intention. Validation of the method of estimating dose by time-to-emesis under various exposure conditions for pre-hospital triage of victims.Methodology. The object of the study is the data from State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency (Moscow) database of acute radiation injuries.Results and Discussion: We have analyzed individual data for the victims of the 1986 Chernobyl disaster (114 persons) with a separate analysis of the irradiation conditions (short-term exposure for less than 20 minutes and prolonged exposure in selected groups), as well as the data from victims of other radiation accidents in the former USSR (26 persons) and 8 patients with total body radiotherapy without the use of antiemetics. It was shown that for the equal time-to-emesis intervals, predicted radiation injury is more severe in case of prolonged exposure vs short-term exposure. This may be due to varying rate of dose accumulation and so-called “unnecessary dose” effect – when the biological mechanism of vomiting has already been triggered against ongoing exposure. Results are presented as interval estimates of radiation injury severity by time-to-emesis for both short-term and prolonged exposures. We also have formulated two criteria for primary triage purposes in case of moderate or large numbers of victims due to large-scale radiation accidents.Conclusion. Recommendations for pre-hospital triage of victims are proposed.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75638413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disease-related stress coping and quality of life in patients with surgically treated spinal tumors","authors":"O. Shchelkova, G. Isurina, E. Usmanova, M. Iakovleva, A. Valiev, A. Kulaga","doi":"10.25016/2541-7487-2021-0-1-97-106","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-1-97-106","url":null,"abstract":"Relevance. The relevance is determined by the need to study quality of life over time in patients with spinal tumors during surgical treatment, as well as to study relationships between quality of life and psychological characteristics, including those responsible for adaptation to a disease, i.e. coping mechanisms (coping strategies and resources).Intention. To study the dynamics of the main quality-of-life parameters in patients with spinal tumors in the perioperative period, as well as to assess relationships between quality-of-life parameters and the psychological mechanisms of disease-related stress coping.Methodology. Quality-of-life parameters were studied over time (before and after surgery) in 62 patients with various spinal tumors (average age 55 years; 22 males [35.5 %]) treated at the Department of Vertebral Surgery of N.N. Blokhin National Research Center of Oncology. The relationships were studied between patients’ quality of life in the early postoperative period and their disease-related stress coping strategies and resources. The following tests were used: the 36-Item Short Form Health Survey Questionnaire (SF-36), questionnaires for studying Quality of Life in oncological disease (QLQ C-30), spine tumors (SOSG OQ), the Ways of Coping Questionnaire (WCQ), the Big Five Personality Test and the Purpose-in-Life Test.Results and Discussion. 23 of 29 studied quality-of-life parameters improved statistically significantly or tended to improve in the post- vs preoperative period, including the general index of health and quality of life, physical, emotional, social and cognitive activity, as well as symptoms of somatic distress (except an increased index of neurological dysfunction). Relationships were revealed between quality-of-life parameters and all the coping-related psychodiagnostic indices (except the “Extraversion” scale). Higher quality-of-life indices positively correlated with mature personality (internality, activity, meaningful goals, seeking social support, etc.). Less mature personality and less effective coping strategies were associated with more pronounced somatic symptoms and their impact on the quality of life in patients.Conclusion. The results of this study can help develop more targeted and individualized programs of psychological assistance and social rehabilitation for patients with spinal tumors.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90786868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioural and morphological changes in rats with lead poisoning aggravated by medicinal hypothyroidism","authors":"N. Yakimova, E. A. Titov","doi":"10.25016/2541-7487-2021-0-1-89-96","DOIUrl":"https://doi.org/10.25016/2541-7487-2021-0-1-89-96","url":null,"abstract":"Relevance. Metals are transported by run-off from human settlements and industrial plants and accumulate in the sediments of water bodies. Lead is found in high concentrations in the soil of agricultural land. Lead can be transported with water, seafood, animal products and plants to humans. Poisoning may occur in workers and in the population in contact with lead. At the same time, hypothyroidism is a widespread disease, often due to living in areas of endemic iodine deficiency in water and soil. Latent hypothyroidism can aggravate occupational effects of heavy metals in exposed workers.Intention. To study behavioural and morphological changes in rats with lead poisoning aggravated by medicinal hypothyroidism. Methodology. 32 albino outbred adult male rats were studied. Lead poisoning was induced by lead acetate at a dose of 60 mg/kg body weight in drinking water tanks for 30 days. Hypothyroidism in rats was induced from the ninth day of the experiment with daily injections of thyrozol (thyroid static substance) at a dose of 30 mg/kg for 21 days. Behavioral responses in rats were studied using open field tests, and survey records were processed using Real Timer. For morphological analysis, layered serial cuts of brain tissue were prepared and painted using the Nissl method, and slides were visualized via observation microscopy.Results and Discussion. Under lead poisoning, animals demonstrated decreased locomotor and exploration activity and increased anxiety with increasing intoxication combined with hypothyroidism. Changes in the rat brain after exposure to lead were confirmed histologically: increased neuron degeneration, neuronophagia and glyosis. New histological data were obtained in case of lead-thyrozol combination: increased neuronal death, decreased number of astroglial cells compared to animals exposed to lead only. This suggests predominant irreversible neurodegeneration due to combined effects of lead poisoning and thyroidstatic exposure.Conclusion. Under combined exposure to lead and tyrozol, the thyroidstatic substance exacerbated decline in locomotor and exploration activity as well as lead-associated neurodegenerative processes in the rat brain.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"12 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87831991","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience of air medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for 2015—2019","authors":"S. A. Gumenyuk, S. Fedotov, V. I. Potapov, A. Sysoev","doi":"10.25016/2541-7487-2020-0-4-60-68","DOIUrl":"https://doi.org/10.25016/2541-7487-2020-0-4-60-68","url":null,"abstract":"Relevance. Due to busy roads of large cities and the resulting slow movement of ambulances with severely affected patients in need of specialized emergency care, new organizational technologies for medical evacuation support as well as modern means of transporting patients to qualified hospitals are required.Intention is to analyze activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care in Moscow in 2015-2019.Methodology. Using the automated information-analytical system “Disaster Medicine of the Moscow City”, activities of aviation medical teams over the last 5 years (2015-2019) were analyzed retrospectively in the Scientific and Practical Center of Emergency Medical Care. Ambulance helicopters are fully equipped to provide comprehensive intensive care for severely affected patients without noticeable deterioration of their condition, and utilization of this equipment was also assessed.Results and Discussion. Main stages of air ambulance formation in Moscow are described. Experience of aviation medical teams over the past 5 years in providing emergency medical care at the pre-hospital stage to those affected in emergency situations and severely ill patients is presented. The description of medical equipment of ambulance helicopters intended for providing emergency medical care to adults and children, including newborns, is given. The number of calls for aviation medical teams over the past five years is provided along with basic reasons and amount of night flights.Most often helicopters were used for transporting patients with severe concomitant and multiple injuries as a result of road accidents. Medical team composition of ambulance helicopters and the number of helipads on the territory of medical organizations of the city and the territories attached to Moscow are given.Conclusion. Based on the analysis of aviation medical teams activities, further ways to improve and develop the aviation medical service of the city of Moscow can be outlined to expand its use.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86657794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The level of readiness of the EMERCOM of Russia employees to provide first aid in road and transportation accidents","authors":"I. S. Melnikova, E. V. Shkatova","doi":"10.25016/2541-7487-2020-0-4-42-47","DOIUrl":"https://doi.org/10.25016/2541-7487-2020-0-4-42-47","url":null,"abstract":"Relevance. Timely competent provision of first aid by fire-fighters and rescuers can minimize the complications of injuries related to road traffic accidents, thereby supporting the lives of victims until the arrival of an ambulance team. Effective first aid training of the Emercom employees is a prerequisite for reducing mortality from road accidents at the pre-hospital stage.Intention. To analyze preparedness for first aid provision in the Udmurt Republic (Izhevsk city) among the EMERCOM of Russia employees directly involved in the elimination of the consequences of road accidents.Methodology. 199 employees of the Emercom of Russia were surveyed in the Udmurt Republic (Izhevsk) to assess their preparedness for the first aid provision based on a specially developed questionnaire.Results and Discussion. When processing the questionnaire data, it was found that 46.7 % of the respondents consider their knowledge and skills to be sufficient for providing first aid to victims of road accidents, 53.3 % are not satisfied with their practical skills. Before the arrival of medical workers, first aid was always provided to the injured by 10.5 %, sometimes by 31.2 % of the respondents. When tested on first aid issues, on average, each employee gave (73.1 ± 1.1) % correct answers. Periodically, 45.2 % of the EMERCOM of Russia employees practiced their skills in first aid on dummies.Conclusion. The results of the study showed the need to improve the regular training on the first aid among EMERCOM of Russia employees: to use dummies and simulators more widely. The data obtained can be used in planning the interagency interaction of services involved in the elimination of the consequences of road accidents, developing a work program for extended first aid for EMERCOM of Russia employees.","PeriodicalId":36526,"journal":{"name":"Medico-Biological and Socio-Psychological Issues of Safety in Emergency Situations","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84978519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}