Чрезвычайные ситуации в мегаполисе: организация и результаты оказания экстренной медицинской помощи детям c термической травмой

Abstract

Summary. The purpose of the study is to analyze the organization and results of providing medical care to children (affected, patients) who received thermal injury in emergency situations (ES) in the metropolis. Materials and methods of research. Research materials – data contained in the automated information and analytical system “Disaster Medicine of the City of Moscow” of the Moscow Territorial Scientific and Practical Center for Disaster Medicine of the Moscow Department of Health (CEMP). Statistical data processing was performed using the StatTech program (Stattech LLC, Russia). During the research, the computing and graphic capabilities of Microsoft Office programs were used. When carrying out the study, historical, statistical and analytical methods were used. Research results and their analysis. Of the 285 children with thermal burns received in emergencies, 124 (43.5%) were pronounced dead at the scene of the event before the arrival of emergency medical services (EMS) and specialized emergency response teams. Of the 161 patients who received emergency medical care, 133 (82.6%) were referred to hospital; 28 (17.4%) – for outpatient follow-up treatment. 24.2% of the total number of patients who received medical care were in extremely serious and serious condition, including 3.1% who required invasive respiratory support. It was noted that in the prehospital period, in 20% of cases, the severity of the condition of patients subsequently hospitalized in the hospital was assessed incorrectly.