Sklifosovsky Journal Emergency Medical Care最新文献

{"title":"FORMATION OF MOTIVATIONAL ATTITUDES OF PROFESSIONAL ACTIVITY OF ANESTHESIOLOGISTS-RESUSCITATORS","authors":"К. S. Klyukovkin, S. A. Kozhin, L. V. Kochorova, М. V. Okulov, А. S. Klimahina","doi":"10.24884/2072-6716-2020-21-4-36-42","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-4-36-42","url":null,"abstract":"Goal and objectives. Through a comprehensive case study to identify motivating and demotivating factors of professional activity of an anesthesiologists-resuscitators, which will implement the personnel policy of the healthcare security industry with highly qualified specialists of this profile.Materials and methods. In 2019, 412 anesthesiologists and resuscitators from 20 multi-specialty hospitals in St. Petersburg were interviewed, and in 2020, 173 specialists from 8 hospitals were re-trained to treat patients with a new coronavirus infection. In sample populations, the deviation of the average value is 0.7%, while the acceptable reliability assessment of the results is up to 3.0%. The calculation of intensive and extensive indicators and the assessment of the reliability of their difference is made. A correlation analysis was used to assess the impact of a number of aspects of the professional activity of anesthesiologists and resuscitators on their job satisfaction.Results. Anesthesiologists and resuscitators are committed to their work, despite the presence of a negative background: increased emotional load (59.4%), chronic diseases received at work (43.6%). The main negative aspects of their work are «overstrain and fatigue at work» (47.8 per 100 respondents), «the salary does not correspond to the load» (43.6 per 100 respondents), «rudeness on the part of patients and their relatives» (40.1 per 100 respondents), «lack of organized legal protection in the event of conflict situations» (26.8 per 100 respondents). Proper monetary compensation is not always an unambiguous condition for doctors to be highly satisfied with their work — only 26.6% would be fully satisfied with the profession if the salary level met their expectations. The analysis of the positive aspects of professional activity of specialists showed a high significance of factors that have a bright emotional color: the most important are the ability to help people (52.3 per 100 respondents) and a good work team (60.8 per 100 respondents). Salary, the level of which is not marked by doctors among the main aspects of work, however, is stated as a motivating factor by 34.2 respondents out of 100 respondents. A study in 2020 revealed an even greater number of doctors experiencing overstrain and fatigue at work (95.3%, t=4.5, p<0.05, including 59.5% –at the limit of their capabilities), increased psycho-emotional load (86.3%, t=3.8, p<0.05).Conclusion. Most on the professional satisfaction of doctors and anaesthesiologists in Saint-Petersburg have a positive effect: the possibility of self-realization and professional growth (ρ=+0,9, p<0.05) and the wage (ρ=+0,8, p<0.05), the ability to help people (ρ=+0,7, p<0,05) and the presence of career prospects (ρ=+0,7, p<0,05). The greatest negative impact is caused by legal insecurity of specialists (ρ= -0,8, p<0,05), negative consequences of interaction with patients and their relatives (ρ= -0,7, p<0,05), abnormal load on specialists (ρ= -0","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80202943","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 USE OF SIMULATION MODELING TO OPTIMIZE THE OPERATION OF AN INPATIENT EMERGENCY DEPARTMENT IN A MULTIDISCIPLINARY HOSPITAL IN THE CONTEXT OF RE-PROFILING A MEDICAL INSTITUTION TO RECEIVE PATIENTS WITH A NEW CORONAVIRUS INFECTION","authors":"V. Teplov, E. A. Tsebrovskaya, S. S. Komedev, V. V. Kolomoitsev, E. A. Karpova, V. Belash, S. Bagnenko","doi":"10.24884/2072-6716-2020-21-4-11-16","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-4-11-16","url":null,"abstract":"This article presents the experience of the practical application of simulation modeling on the example of a model of an inpatient emergency department in working with a new coronavirus infection.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74987216","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":"APPLICABILITY OF BIOMEDICAL PRODUCTS IN PATIENTS WITH DIABETIC FOOT SYNDROME","authors":"A. Kolke, E. Zinoviev, V. V. Zavatskiĭ","doi":"10.24884/2072-6716-2020-21-4-63-69","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-4-63-69","url":null,"abstract":"Fast and cost-effective treatment of patients with diabetic foot syndrome (DFS) is still a great challenge today. The use of biomedical cell products (BCP) in this category of patients has its own pathogenetic orientation, however, it remains not fully understood and accepted. This review presents the results of numerous studies confirming the effectiveness of the use of BCP for the treatment of mainly superficial trophic defects in patients with neuropathic form of DFS. However, these technologies are still behaved to adjuvant therapies. There are no clear algorithms and regulations for the use of BCP in patients with DFS. It was shown that use of BCP accelerates the reparative processes of superficial trophic defects in patients with neuropathic form of DFS in combination with standard therapy and reduces the time of wound epithelization. In view of the complexity and high cost of BCP, it should be considered the possibility of their use in patients with a neuroischemic form of DFS of different grades by WIfI classification.","PeriodicalId":37398,"journal":{"name":"Sklifosovsky Journal Emergency Medical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85849500","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":"PROGNOSTIC CRITERIA FOR SURGICAL AND EVACUATION TACTIC IN PATIENTS WITH POLYTRAUMA","authors":"A. I. Makhnovskiy, O. Ergashev, I. Barsukova, A. Miroshnichenko, R. R. Kasimov, M. V. Usaev","doi":"10.24884/2072-6716-2020-21-3-18-23","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-18-23","url":null,"abstract":"In order to develop criteria for substantiating surgical and evacuation tactics in patients with polytrauma in level II and III trauma centers, the existing prognostic scales for assessing the severity of the injury were studied and a comparative characteristic was given.","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":"72729920","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 FEATURES OF THE COURSE OF BURN DISEASE IN PATIENTS OF ELDERLY AND OLD AGE","authors":"A. Fayazov, R. S. Ajiniyazov","doi":"10.24884/2072-6716-2020-21-3-54-57","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-54-57","url":null,"abstract":"There were studied the course and frequency of complications of burn disease in 160 patients of elderly and older age. The results of the study showed that pneumonia was observed in 16.2% of patients. Along with this, it was noted that, against the background of a burn injury, there were observed exacerbation of concomitant disease, which leads to a burdened course of a burn disease and has an adverse effect on its course and outcome.","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":"74850956","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":"SYSTEM OF CONTINUOUS MEDICAL EDUCATION FOR THE EMERGENCY MEDICAL SERVICE MEDICAL PERSONNEL PERFORMED BY ELECTRONIC EDUCATIONAL TECHNOLOGIES. THE ROLE OF THE PROJECT DURING THE COVID‑19 PANDEMIC","authors":"N. Plavunov, O. Logvinova, A. B. Khisamov, A. Kolesnik, A. G. Buzin","doi":"10.24884/2072-6716-2020-21-3-4-10","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-4-10","url":null,"abstract":"The review paper presents experience of implementation of an educational project - the permanent education system of a large medical facility of Moscow city emergency medical system. Basic project features are given regarding it’s usage and role in pandemic period. We suppose the information given in the paper to be useful for specialists in the spheres of healthcare management in public administration, management of medical organizations and professional medical education.","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":"77357330","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":"DISORDERS OF THE BRAIN IN PATIENTS WITH SEVERE BURN INJURY","authors":"O. Orlova, L. P. Pivovarova, I. V. Osipova, O. Ariskina","doi":"10.24884/2072-6716-2020-21-3-48-53","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-48-53","url":null,"abstract":"Conducted an assessment of the level of consciousness on the Glasgow coma scale, sedation level on the Richmond scale of excitation and sedation, assessment on the ICDSC and CAM–ICU scales, as well as monitoring the blood levels of protein S100b, NSE, BNP, NT‑proBNP, procalcitonin, interleukins‑6, - 8 in 53 patients with burn disease to determine the timing and criteria for the development of cerebral insufficiency. It was determined that cerebral disorders develop already upon admission and persist up to 20 days of observation. The debut of early sepsis is associated with clinical and laboratory criteria for neurological deficit.","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":"81499179","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":"ENHANCEMENT AND DEVELOPMENT OF THE AMBULANCE SERVICES IN PAVLODAR REGION","authors":"K. K. Akhmentzhanov, S. Krylova","doi":"10.24884/2072-6716-2020-21-3-39-43","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-39-43","url":null,"abstract":"This article contains a historical overview on development of ambulance in Pavlodar, suggests the ways and methods for improvement of the organization of the ambulance, demonstrates the results of implantation of the ambulance reformation projects, and defines goals and algorithms for the advanced effectiveness of ambulance performance","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":"73286996","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":"EVALUATION OF DIAGNOSTIC QUALITY CRITERIA OF EMERGENCY CARE FOR DISEASES OF SURGICAL PROFILE AT EMERGENCY DEPARTMENTS","authors":"R. Alimov, A. Miroshnichenko, E. L. Lataria, I. Turov","doi":"10.24884/2072-6716-2020-21-3-11-17","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-11-17","url":null,"abstract":"The article presents an analysis of diagnostic criteria of quality evaluation for emergency medicine and specialized medical care in emergency departments. The results of the study of emergency medicine care in compliance with quality evaluation criteria showed that in groupe of general criteria for quality evaluation it was achieved in 100 prc cases, in groupe of evaluation criteria of extent of medical aid - in 97,4 prc cases, n groupe of evaluation criteria of timely diagnosis and treatment — 98,2 prc. It also shows the high level of medical care in this department.","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":"84987156","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":"THERAUPEUTIC AND TACTICAL MEASURES FOR ACUTE INFECTIOUS QUARANTINE DISEASES AT THE PRE-HOSPITAL STAGE OF MEDICAL CARE","authors":"V. M. Shaytor, D. A. Zemlyanoy, M. V. Ponyatishina, A. Galustyan","doi":"10.24884/2072-6716-2020-21-3-44-47","DOIUrl":"https://doi.org/10.24884/2072-6716-2020-21-3-44-47","url":null,"abstract":"The paper presents the basic ideas about quarantine infections, especially coronavirus infection, and proposes an algorithm for routing patients with COVID‑2019 at the prehospital stage of emergency and emergency care.","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":"74725224","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}