Abstract
Relevance. In the Arkhangelsk region, there is M-8 “Kholmogory” federal highway with typical for northern roads features, which contribute to numerous road traffic accidents (RTA) with medical consequences and, on the other hand, interfere with timely medical care to victims. Intention. To investigate RTA medical consequences in the Arctic zone of Russia under study and assess their medical social and medical-tactical aspects. Methods. 327 case histories of RTA victims urgently admitted to multispecialty hospitals in Severodvinsk in 2012–2014. Results and Discussion. RTA with medical consequences prevailed during the summer period, specifically at weekends and in the evening (6.00–11.00 pm). People of working age under 40 years accounted for more than 50 % of all victims. Drivers and passengers of motor vehicles prevailed among RTA at M-8 federal highway and pedestrians – on the city roads of Severodvinsk. Among injured, 57.8 % had single traumas, 8.5 %, multiple, and 33.7 %, combined traumas. Trauma severity by the ISS scale (М [q1; q4]) was 4.0 [4.0; 4.0]; 9.2 [4.0; 13.8] and 13.4 [6.0; 17.3], respectively. Emergency teams virtually used no infusions at the prehospital stage. Among injured, 235 (71.9 %) received medical treatment, and more than 92 (28.1 %) required urgent surgical interventions, predominantly osteosynthesis with angular stability plates and blocked intramedullary osteosynthesis. Conclusion. According to our data, management of emergency care and treatment of RDA victims should be improved.
Highlights
In the Arkhangelsk region, there is M-8 “Kholmogory” federal highway with typical for northern roads features, which contribute to numerous road traffic accidents (RTA) with medical consequences and, on the other hand, interfere with timely medical care to victims
327 case histories of RTA victims urgently admitted to multi-specialty hospitals in Severodvinsk in 2012–2014
RTA with medical consequences prevailed during the summer period, at weekends and in the evening (6.00–11.00 pm)
Summary
Проанализировали 327 историй болезни, оформленных на пострадавших в ДТП в воз расте 18 лет и старше, поступивших в 2012– 2014 гг. по срочным показаниям в многопро фильные больницы г. Проанализировали 327 историй болезни, оформленных на пострадавших в ДТП в воз расте 18 лет и старше, поступивших в 2012– 2014 гг. По срочным показаниям в многопро фильные больницы г. Для оценки тяжести травмы у пострадав ших в ДТП использовали шкалу ISS – Injury Severity Score Baker и соавт.), учитываю щую анатомо-топографические повреждения и предусматривающую разделение челове ческого тела на 6 сегментов. Оценку повреж дения каждого сегмента производили по 5-балльной шкале. Баллы 3 максимально по врежденных сегментов возводили в квадрат и суммировали. Его величина в 41 балл – кри тическая и предполагает исполнение только неотложных вмешательств. Статистический анализ проводили с ис пользованием пакета прикладных статисти ческих программ SPSS 22. В условиях неподчине ния данных закону нормального распределе ния сравнение двух групп по количественным признакам проводили с использованием кри Таблица 1
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