ORGANIZATION OF AGENCIES INTERACTION IN PROVIDING MEDICAL CARE AND DAMAGING FACTOR EVALUATION IN ROAD ACCIDENTS (ON THE BASIS OF MEDICAL AND FORENSIC MEDICAL CASES)

Lebedev Marat Vladimirovich, Physician, maxillofacial surgeon, Penza regional clinical hospital named after N. N. Burdenko (28 Lermontova street, Penza, Russia); postgraduate student, Central research institute of healthcare organization and informatization of the Ministry of Healthcare of Russia (11 Dobrolyubova street, Moscow, Russia), mrtlebedev@yandex.ru

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Background. Being one of the major social problems of the modern society, road safety problems are identified as priorities of socio-economic development in a number of strategic and program documents governing the actions of the authorities at all levels to prevent and address the problems of road accidents.
Materials and methods. The authors carried out a structural analysis of the body of a deceased pedestrian in hospital conditions and a killed pedestrian on the scene of an accident: when assessing the damaging factor the researchers studied clinical, anatomopathological diagnoses and forensic reports, as well as medical conclusion about pedestrian’s lifetime health condition, his/her existing injuries and cause of death, drawn up in accordance with the applicable standards and expressed in terms specified in the existing classifications and nomenclature of diseases. In determining the damage caused by the impact of a moving modern car the author collected the input (statistical) data using the algebraic model of reconstructive logic, verified the data using the mathematical analysis, which ensured formation of a working model, collection and processing of the results, as well as presentation of the results in the form of conclusions and proposals.
Results. The author studied the algorithm of interaction of different departments with health authorities and forensic examination in order to organize emergency medical aid to victims of road accidents of the country. The study revealed the factors determining fatal outcome in road accidents involving pedestrians. The researcher investigated mechanisms of injury occurence caused by impacts with moving vehicles; provided an assessment of traumatic injuries resulting in pedestrians’ death.
Conclusions. The clinical picture of extensive injuries of soft tissues, bones and brain, resulting from a collision of a moving car and a pedestrian, does not allow medical professionals to save lives of victims of road accidents even provided welltimed pre-hospital and high-quality specialized medical care.

accident, pedestrians, injury examination.

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