The Structure and Organization of Medical Care for Victims With Thermal Trauma in Emergency Situations

Abstract

INTRODUCTION Based on the Ministry of Emergency Situations data megapolises note an annual increase of the emergency situations (ES). The increase of an urban population in Russia up to 73% results in considerable human victims in big cities due to thermal injuries among others.THE AIM of the present research is to analyze the structure of ES victims and the efficiency of the organization of a medical care for victims with thermal injuries in Moscow in 2016–2018.MATERIAl AND METHODS We have held a retrospective analysis of 113 cases of patients of a Burn Center of Sklifosovsky Research Institute for Emergency Medicine of the Moscow Health Department, and have studies the data of an automated informational analytical system named “Emergency Medicine” for 2016 2018.RESUlTS For an absolute number of victims, fires are on the third place among different emergencies in Moscow, but on the pre­hospitalization stage, the biggest number of deaths are registered (38,2%). The number of patients with thermal injuries reaches 31% among all the patients in hospitals. We note a multi­factor and a combined character of injuries characterized by a high mortality rate (9,8%).CONClUSION A present system of medical help for patients with thermal injuries, from the moment of ES fact to the hospitalization to multidisciplinary treatment­and­prophylactic organizations having an experience of specialized medical services, is a reliable and effective element of the health system.

Keywords

• disaster medicine
• emergency
• burn injury
• specialized medical care