Relevance. The problem of organizing and providing emergency medical care during the medical evacuation of seriously injured in emergency situations who received burns remains relevant up to the present time. The effectiveness of the intensive care performed at the prehospital stage significantly affects the condition of patients and the outcome of the treatment. A fairly effective and safe way to evacuate victims in critical condition, including those with burns, is the use of air ambulance. At the same time, the preparation and management of patients subject to air medical transportation requires solving a number of problems during the flight.Intention. To analyze the results of the organization and implementation of intensive care over the past 8 years in seriously injured people with burns after emergencies during aeromedical evacuation by a light-class helicopter.Methodology. We analyzed data from the automated information and analytical system “Disaster Medicine of the city of Moscow” of the Moscow Territorial Scientific and Practical Center of Disaster Medicine (CEMP) of the Department of Healthcare of the City of Moscow concerning medical evacuation of patients with burns over the past 8 years (2014–2021). Historical, statistical, analytical methods were used in the study.Results and Discussion. The main causes of thermal injury are fires, which rank third in the number of events and the number of victims, and first in the number of deaths. In the structure of victims with thermal trauma, 26 % were in extremely serious and serious condition, of which 2 % needed artificial lung ventilation and tracheal intubation. Indications and features of artificial lung ventilation with tracheal intubation were determined for victims with thermal burns who were subject to medical evacuation by a light-class ambulance helicopter.Conclusion. Aeromedical transportation of a burn patient with adequate therapy is relatively safe and prognostically more effective compared to other methods of medical evacuation. When using flight crews with little experience in providing emergency medical care to victims with large burns, special attention should be paid to resuscitation and maintaining euthermia (maintaining human body temperature).
Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.
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