The Evaluation of Quality of Medical Care Support of Victims of Road Traffic Accidents at Pre-Admission Stage in Conditions of the Russian Arctic

Abstract

The retrospective continuous documented study of volume and quality of emergency medical care of victims of road traffic accidents occurred in the Arctic zone of the Russian Federation in 2012-2016. It is determined that on the examined territory there are enough of forces and means for timely and qualitative emergency medical care support of victims of road traffic accidents. It is established that more than 80% of all victims received medical care at the very site of accident during 20 minutes and no longer from the moment of calling ambulance and more than 90% of all victims were transported to admitting office of duty hospitals during first 40 minutes from the moment of being injured. The medical care, including application of pain killers (77.2%), intra-venous infusion of anti-shock remedies (35.1%), application of transport immobilization (74.9%) and implementation of medical evacuation to multi-field hospitals of Severodvinsk, was provided by specialists of emergency medical care teams to significant majority of victims of road traffic accidents (p < 0.001). It is established that a significant number of victims of road traffic accidents with combined and multiple injuries did not received at the pre-admission stage the anti-shock infusion therapy appropriate to their health condition. The mistakes of diagnostic of injuries due to road traffic accidents were established. The most significant of them in 10.4% was under diagnostic of shock condition in victims that conditioned inadequate infusion therapy and inadequate volume of rendered medical care of victims at the pre-admission stage of medical evacuation.