Assessment of emergency medical care delivered in different conditions in the Russian Federation

Bagnenko S.F.; Miroshnichenko A.G.; Alimov R.R.; Shlyafer S.I.

doi:https://doi.org/10.17116/anaesthesiology2021021124

Bagnenko S.F.

Pavlov First St. Petersburg State Medical University

Miroshnichenko A.G.

Pavlov First St. Petersburg State Medical University;
Mechnikov North-Western State Medical University;
Dzhanelidze St. Petersburg Research Institute of Emergency Medicine

Alimov R.R.

Mechnikov North-Western State Medical University

Shlyafer S.I.

Central Research Institute for Organization and Informatization of Health Care

Assessment of emergency medical care delivered in different conditions in the Russian Federation

Authors:

Bagnenko S.F., Miroshnichenko A.G., Alimov R.R., Shlyafer S.I.

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Journal: Russian Journal of Anesthesiology and Reanimatology. 2021;(2): 124‑130

DOI: 10.17116/anaesthesiology2021021124

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To cite this article:

Bagnenko SF, Miroshnichenko AG, Alimov RR, Shlyafer SI. Assessment of emergency medical care delivered in different conditions in the Russian Federation. Russian Journal of Anesthesiology and Reanimatology. 2021;(2):124‑130. (In Russ.)
https://doi.org/10.17116/anaesthesiology2021021124

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OBJECTIVE

To evaluate emergency medical care delivered by the specialized teams of anesthesiology and intensive care in ambulance and in-hospital departments in the Russian Federation in 2014-2019.

MATERIAL AND METHODS

Data on emergency medical care for 2014-2019 were analyzed using statistical, analytical, normative and law methods.

RESULTS

Analysis of emergency medical care delivered in different conditions showed a decrease in the number of emergency medical stations over the last 6 years and higher number of ambulance teams. The number of paramedic teams is increased in the structure of ambulance medical teams that is accompanied by less number of emergency physician and specialized physician teams. Advanced age patients prevail in the structure of calls including those accompanied by lethal outcomes. We found a decrease in the incidence of visits to patients with injuries, poisoning, sudden illnesses and conditions including road accidents with reduced number of deaths in an ambulance car. Analysis of in-hospital emergency medical care revealed the need for more than 3-fold scaling of the technology of inpatient emergency departments in the regions for effective emergency medical service in hospitals. Anesthesiology and intensive care teams account about 40% in the system of specialized emergency medical care. Scaling of the technology of inpatient emergency departments in the regions will require over 324 anesthesiologists to ensure round-the-clock work of intensive care units. Further improvement of emergency medical care predetermines a special role of anesthesiology and intensive care in availability and quality of medical care.

CONCLUSION

Analysis of ambulance service showed its positive development considering normalization of parameters of outpatient and in-hospital activity. Development of emergency and specialized medical care will be associated with interdisciplinary interaction of specialties with anesthesiology and intensive care.

Keywords:

emergency medical care

anesthesiology and intensive care

in-hospital department of emergency care

Authors:

Bagnenko S.F.

Pavlov First St. Petersburg State Medical University

Miroshnichenko A.G.

Pavlov First St. Petersburg State Medical University;
Mechnikov North-Western State Medical University;
Dzhanelidze St. Petersburg Research Institute of Emergency Medicine

Alimov R.R.

Mechnikov North-Western State Medical University

Shlyafer S.I.

Central Research Institute for Organization and Informatization of Health Care

Received:

30.11.2020

Accepted:

28.12.2020

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References:

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Bagnenko SF, Miroshnichenko AG, Shlyafer SI, Alimov RR, Teplov VM, Razumny NV, Turov IA. Results of the work of emergency medical care outside medical organizations and in stationary conditions in the Russian Federation. Mediko-biologicheskie i sotsial’no-psikhologicheskie problemy bezopasnosti v chrezvychajnykh situatsiyakh. 2020;1:5-11. (In Russ.). https://doi.org/10.25016/2541-7487-2020-0-1-05-11