ENHANCEMENT OF PRE-HOSPITAL MEDICAL AID RENDERED TO PATIENTS INJURED IN CAR
ACCIDENTS IN ASTRAKHAN REGION 

Bolotnikov Igor' Yur'evich, Doctor of medical sciences, chief physician, Center of Disaster Medicine and Emergency Medical Aid (2 Tatishcheva street, Astrakhan, Russia), medkatastr@mail.ru
Galaktionova Nadezhda Igorevna, Candidate of medical sciences, assistant, sub-department of public health and healthcare, Astrakhan State Medical University (121 Bakinskaya street, Astrakhan, Russia), nbolotnikova@mail.ru

614,2: 614,86 [470.12].

10.21685/2072-3032-2017-1-11

Background. According to the State Automobile Inspectorate of RF Ministry of Internal Affairs, 200 thousand vehicle accidents happen each year in the Russian Federation and, as a result, more than 20 thousand people, including 1000 children, die. More than 250 thousand people get injured. Therefore, there is an urgent need in special activities aimed at the enhancement of medical aid rendered to those injured in car accidents. The objective of the research is to analyze the efficiency of enhancement of pre-hospital aid rendered to patients injured in car accidents in Astrakhan region.
Materials and methods. The data for the research are annual reports of The Disaster Medicine Centre and Emergency Call Service for the period of 2012–2015, calls records filled in by the doctors working in these organizations.
Results. As a result of the organized activities aimed at the enhancement of prehospital emergency medical aid rendered to the injured in car accidents, it was possible to reduce the number of the injured in car accidents and decrease the index of the injured as well as the death and injury frequency rate.
Conclusions. Within the analyzed period (2013–2015) the number of calls connected with car accidents reduced by 18,9 %, and the number of the injured decreased by 17,1 %. Within the period of 2013–2015, the mortality rate of the injured in car accidents and taken to hospitals decreased by 8,8 %.

 car accidents, the injured, pre-hospital and hospital medical aid

1. Barsukova I. M., Miroshnichenko A. G., Kisel'gof O. G., Bumay O. A. Skoraya meditsinskaya pomoshch' [Emeregency medical aid]. 2014, no. 2, pp. 4–12.
2. Bystrov M. V. Meditsina katastrof [Disaster medicine]. 2016, no. 1 (93), pp. 14–16.
3. Kuzenko P. I. Skoraya meditsinskaya pomoshch' [Emergency medical aid]. 2014, vol. 15, no. 1, pp. 29–32.
4. Kuz'min A. G., Nosov A. V. Meditsina katastrof [Disaster medicine]. 2014, no. 3 (87), pp. 28–31.
5. Zamestitel' glavnogo vracha [Deputy chief physician]. 2012, no. 1, pp. 118–142.
6. Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii: Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 15.04.2014 № 294 [On approval of the state proram of the Russian Federation: the Enactment of the Government of the Russian Federation from 15.04.2014 № 294]. Available at: http://www.consultant.ru.
7. Prikaz Minzdrava Rossii ot 20.06.2013 № 388p «Ob utverzhdenii Poryadka oka-zaniya skoroy, v tom chisle skoroy spetsializirovannoy, meditsinskoy pomoshchi (Zaregistrirovano v Minyuste Rossii 16.08.2013 № 29422) [The Order of the Ministry of Healthcare of Russia from 20.06.2013 № 388r “On approval of the Procedure of emergency medical aid rendering, including specialized types (Registered in the Ministry of Justice on 16.08.2013 № 29422)”].
8. Razvitie promyshlennosti, toplivo-energeticheskogo kompleksa, prirodnykh re-sursov i transporta Astrakhanskoy oblasti: Postanovlenie Pravitel'stva Astrakhanskoy oblasti o Gosudarstvennoy programme ot16.09.2014. № 400-P [Development of industry, fuel and energy sector, natural resources and transport of Astrkhan region: the Enactment of the Government of Astrakhan region on the State program from 16.09.2014. № 400-r].
9. Suvorov S. G., Rozinov V. M. Meditsina katastrof [Disaster medicine]. 2014, no. 4 (88), pp. 11–14.