Abstract
Objective: to analyze the efficiency of the Rostov Region’s medical care service for children with severe traumatic injuries due to road traffic accidents. Results. It has been established that the service meets the generally accepted stepwise principles and has a multilevel network of hospitals, which allows the earliest performance of the required volume of medical care in relation to the pattern and severity of lesions. It has been shown that 58.3% of the children with severe traumatic lesions are primarily admitted to the central district hospitals and emergency care ones that are aimed at rendering medical aid to the adult population. Thus, medical care is delivered to the above contingent by non-pediatric surgical and resuscitative-anesthetic services. Conclusion. By keeping in mind the specific features of the emergency medical system existing in the region, the authors propose its further development, by organizing interregional centers on the basis of a number of central regional hospitals for the treatment of children with traumatic lesions (among other things, by allocating pediatric beds in the intensive care units). The stepwise solution of this problem is currently being done in the Rostov Region in two main directions: 1) organization by developing a round-the-clock advisory subdivision (with an exiting sanitary aviation team) on the basis of – the regional children’s clinical hospital and 2) methodical maintenance of multidisciplinary h°spitals in delivering medical care to different age-groups children. Key words: road traffic accidents, emergency medical service, children, traumatic lesions.
Highlights
Цель работы — проведение анализа эффективности действующей на территории Ростовской области службы ока зания медицинской помощи детям с травматическими повреждениями в результате ДТП
It has been established that the service meets the generally accepted step wise principles and has a multilevel network of hospitals, which allows the earliest performance of the required volume of medical care in relation to the pattern and severity of lesions
It has been shown that 58.3% of the children with severe traumatic lesions are primarily admitted to the central district hospitals and emergency care ones that are aimed at ren dering medical aid to the adult population
Summary
Цель работы — проведение анализа эффективности действующей на территории Ростовской области службы ока зания медицинской помощи детям с травматическими повреждениями в результате ДТП. Целью настоящей работы являлся анализ эффективности действующей на терри тории Ростовской области службы оказания медицин ской помощи детям с тяжелыми травматическими по вреждениями в результате ДТП. Далее представлены результаты анализа эффек тивности действующей на территории Ростовской об ласти службы экстренной медицинской помощи по на правлению оказания медицинской помощи детям с тяжелыми травматическими повреждениями в резуль тате ДТП. Система оказания медицинской помощи постра давшим в результате ДТП на территории Ростовской области в целом соответствует общепринятым принци пам этапности и имеет многоуровневую сеть стациона ров, что позволяет обеспечить выполнение в макси мально возможные сроки необходимого объема медицинской помощи в зависимости от профиля и тя жести повреждений Направления госпитализации детей, пострадавших в результате ДТП на территории Ростовской области за период 2007—2008 гг
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