Sklifosovsky Journal Emergency Medical Care最新文献_第10页

EXTRACORPOREAL DETOXICATION IN THE TOXIGENIC STAGE POISONING: TREATMENT RECOMMENDATIONS 产毒期中毒的体外解毒:治疗建议

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-10-14 DOI: 10.24884/2072-6716-2020-21-3-24-32

M. I. Gromov, A. Lodyagin, A. Fedorov, O. E. Zaev, O. Kuznetsov

引用次数: 1

EXPERIENCE OF VIDEO LARYNGOSCOPY DURING TRACHEAL INTUBATION FOR EMERGENCY INDICATIONS IN THE PRACTICE OF AN ANESTHESIOLOGIST AND RESUSCITATOR 麻醉师和复苏员在气管插管急诊指征中的视频喉镜检查经验

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-10-14 DOI: 10.24884/2072-6716-2020-21-3-33-38

V. Vasilev

{"title":"EXPERIENCE OF VIDEO LARYNGOSCOPY DURING TRACHEAL INTUBATION FOR EMERGENCY INDICATIONS IN THE PRACTICE OF AN ANESTHESIOLOGIST AND RESUSCITATOR","authors":"V. Vasilev","doi":"10.24884/2072-6716-2020-21-3-33-38","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-33-38","url":null,"abstract":"Objectives. To assess the advantages and disadvantages of videolaryngoscopy as one of methods of tracheal intubation which is being widely used as an alternative to direct laryngoscopy in anesthesiologist’s practice.Material and methods. Over 100 of tracheal intubations were conducted with the use of videolaryngoscope, along with a routine use of the direct laryngoscopy. The results of 48 intubations are discussed. 4 clinical cases are presented in this article.Results. Cormack-Lehane grade I view was obtained in 39 cases (81,3%), Cormack-Lehane grade II - in 9 patients (18,8%). First attempt intubation was performed in 43 cases (89,6%), in 4 cases intubation was successful after second attempt (8,3%), failed intubation was in 1 case (2,1%). The mean duration of successful intubation was 36,9 sec. Certain difficulties occured during intubation related with the advancement of the endotracheal tube. Technical solutions are given for some of intraprocedural conditions.Conclusions. Videolaryngoscopy is a safe and effective method of tracheal intubation. Although this method is not lacking in disadvantages it has a number of advantages, main of which is the improved larynx visualization. In our opinion, this method can not completely replace direct laryngoscopy in anesthesiolodist’s practice, but may serve as an adjuvant in case of difficult intubation.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77197795","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}

引用次数: 0

ABOUT DIFFICULTIES IN THE QUALITY EXAMINATION OF MEDICAL CARE AT THE PROBLEM OF THE EARLY POST-OPERATIVE PERIOD IN CASES OF PERFORMANCE OF THE CISTECTOMY IN THE CONDITIONS OF A MULTI-PROFILE HOSPITAL 浅谈综合性医院胆囊切除术术后早期医疗质量检查的难点问题

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-10-14 DOI: 10.24884/2072-6716-2020-21-3-64-78

K. N. Movchan, K. Chernov, B. S. Artyushin, A. V. Zharkov, V. V. Tatarkin, A. Chernova, E. V. Zhelezniy

{"title":"ABOUT DIFFICULTIES IN THE QUALITY EXAMINATION OF MEDICAL CARE AT THE PROBLEM OF THE EARLY POST-OPERATIVE PERIOD IN CASES OF PERFORMANCE OF THE CISTECTOMY IN THE CONDITIONS OF A MULTI-PROFILE HOSPITAL","authors":"K. N. Movchan, K. Chernov, B. S. Artyushin, A. V. Zharkov, V. V. Tatarkin, A. Chernova, E. V. Zhelezniy","doi":"10.24884/2072-6716-2020-21-3-64-78","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-64-78","url":null,"abstract":"Cystectomy, as a type of surgical treatment, is performed for various diseases of the bladder. Most often, with malignant tumors, as well as with benign pathological conditions. Adversity in the postoperative period in patients undergoing cystectomy is mainly due to the need to ensure adequate derivation of urine. One of the solutions to this problem is the implementation of ileocystoplastic, which, in turn, is associated with the implementation of technically difficult and large-scale manipulations during surgery. Organizationally performing a surgical aid such as cystectomy on a stream in a round-the-clock emergency hospital does not make much sense. Successful prevention of severe complications of cystectomy (or their elimination) is probably possible only in those multidisciplinary medical organizations in which the provision of medical care to patients with an oncourological profile is an everyday programmed activity. Specialists of the prehospital medical care section have a special role in routing patients with bladder diseases, and not only their formal referral and delivery to non-specialized medical and preventive care institutions in emergency mode with syndromic diagnoses such as “renal colic or macrohematuria”. Currently, in St. Petersburg, all conditions have been created for the concentration of patients with severe diseases of the bladder in a number of specialized medical organizations in which the required number of cystectomy operations with intestinal plastic is performed annually, which makes it possible to guarantee the maximum effect of the use of such surgical interventions without discrediting the method by the rarity of its implementation, and with favorable long-term results of treatment of patients.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81557804","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}

引用次数: 0

EFFICIENCY OF HEMOSTASIS ENDOSCOPIC METHODS FOR HEMORRHAGE FROM VARIOUSLY EXTENDED VESES OF THE ESOPHAGOD 内镜止血方法对食管各种延伸血管出血的疗效观察

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-10-14 DOI: 10.24884/2072-6716-2020-21-3-58-63

R. N. Kadirov, F. A. Hadjibaev, Y. M. Akhmedov, E. R. Minnulin

引用次数: 0

RENDERING MEDICAL CARE WITH A LARGE ROAD TRANSPORT ACCIDENT 为一起大型交通事故提供医疗服务

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-34-39

A. Stepanov, K. Shapovalov, A. Miromanov, V. Konnov, A. Malyarchikov, V. V. Dorzheev, D. Konnov

引用次数: 0

FOREIGN EXPERIENCE OF EMERGENCY MEDICAL SERVICE TO A VICTIM OF A MAJOR TRAUMA IN REGIONAL TRAUMA SYSTEMS 国外对区域性创伤系统中重大创伤受害者的紧急医疗服务经验

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-40-47

Y. Shapkin, P. Seliverstov, N. Y. Stekolnikov

引用次数: 0

PRE-HOSPITAL FIRST AID: REAL RICK TO LIFE, WHICH CAN GIVE FATAL EXIT FOR A CHILD IN AN TRAFFIC ACCIDENT 院前急救:真正的生命危机，它可以给交通事故中的孩子提供致命的出口

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-15-18

S. Bulatov, A. M. Antonov

引用次数: 0

INFLUENCE OF FRAILTY SYNDROME ON THE COURSE OF NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME AND OUTCOMES IN ELDERLY AND SENILE PATIENTS 虚弱综合征对中老年非st段抬高急性冠状动脉综合征病程及转归的影响

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-48-54

E. Lavrinova, D. N. Bryliakova, G. Kukharchik

{"title":"INFLUENCE OF FRAILTY SYNDROME ON THE COURSE OF NON-ST-SEGMENT ELEVATION ACUTE CORONARY SYNDROME AND OUTCOMES IN ELDERLY AND SENILE PATIENTS","authors":"E. Lavrinova, D. N. Bryliakova, G. Kukharchik","doi":"10.24884/2072-6716-2020-21-2-48-54","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-2-48-54","url":null,"abstract":"Background . The incidence of non- ST -segment-elevation acute coronary syndrome (NSTEACS) is especially high in elderly. In such patients, concomitant diseases are more common and there is a higher risk of complications, which emphasizes the relevance of the study of frailty syndrome and outcomes in NSTEACS. Objective . The aim of the study was to analyze the effect of frailty on the course of nonST-segment elevation acute coronary syndrome and outcomes in elderly and senile patients. Design and methods . 126 patients with non- ST -segment elevation acute coronary syndrome at the age of 61 to 90 were involved into the study. Follow-up was carried out during 1 year; clinical endpoints were mortality and recurrent acute coronary syndrome. All patients were divided into 3 groups according to the frailty index by M. Hoover et al.: the first group — 49 patients with frailty syndrome (38,9%), the second — 47 (37,3%) with pre-frailty and 30 patients (23,8%) without frailty. Results . Geriatric syndromes, cognitive impairment, depression, decreased basic and instrumental activity were more often in patients with frailty. They also had more complications, such as bleeding, arrhythmias and early post-infarction angina. During 1-year followup 5 patients with frailty (10.2%), 5 patients (10.6%) with pre-frailty, and 2 patients (6.6%) without frailty had adverse outcomes. When analyzing the influence of age and frailty on the development of adverse outcomes (death, repeated ACS), a higher contribution of age was revealed. Conclusion . Patients with ACS and frailty have a higher risk of adverse outcomes. Some of the reasons are various geriatric syndromes, changes in emotional and cognitive status and more frequent complications. Age and frailty were crucial for the development of adverse outcomes. However, senile age was of higher importance for the outcomes.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86439487","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}

引用次数: 2

SIMULATION OF A THREE-LEVEL EMERGENCY MEDICAL CARE SYSTEM IN THE CHECHEN REPUBLIC 三级急救医疗系统在车臣共和国的模拟

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-9-14

V. Teplov, E. A. Tsebrovskaya, E. A. Karpova, E. Suleymanov, A. B. Ihaev, N. V. Razumniy, I. Minnullin, S. Bagnenko

引用次数: 0

CAPABILITIES OF HOSPITAL EMERGENCY DEPARTMENTS IN THE TREATMENT OF PATIENTS WITH A DIAGNOSIS OF “TOXIC EFFECT OF ETHANOL” 医院急诊科对诊断为“乙醇中毒效应”患者的治疗能力

Sklifosovsky Journal Emergency Medical Care Pub Date : 2020-09-14 DOI: 10.24884/2072-6716-2020-21-2-28-33

I. A. Shikalova, I. Barsukova, A. Lodyagin, A. Sinenchenko, G. V. Shestova

引用次数: 0