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The objective of the study was to compare the order of admission and distribution in hospitals of the incoming flow of victims with explosive peacetime injuries (based on the analysis of terrorist acts in Minsk on April 11, 2011 and in St. Petersburg on April 3, 2017).Methods and Materials. We analyzed the organization of inpatient medical care for 2 groups of victims who applied for medical care to hospital health organizations on the day of the terrorist attack. The first group – 195 victims of the explosion in the subway of Minsk. The second group – 55 victims of the explosion in the subway of St. Petersburg. Results. The order of admission of victims to the healthcare organization in both groups was similar, as was the number of requests for medical care within 1.5 hours from the time of the first treatment (72.7 and 63.6 %, p>0.05). In both groups, there were identical indicators of the victims aimed at inpatient treatment (80.5 and 83.6 %, p>0.05), and cases when the profile of the hospitalization department was crucial for the nature of medical care (74.5 and 76.1 %, p>0.05). The victims of both groups hospitalized in hospital healthcare organizations had identical indicators of subsequent transfers to other medical institutions or to other departments.Conclusion. The first 1.5 hours after the first call to hospitals after explosions in the subway are the most stressful, which may require limiting medical care only to emergency operations. Up to 20 % of the victims had no serious injuries and were referred for outpatient treatment.

Currently, explosive trauma is rare in peacetime injury surgery, but is of great importance in the work of surgeons. This is due to damage of a large number of anatomical areas, various damaging factors of the explosion and the simultaneous entering of several victims. The results of forensic medical examinations of 24 corpses of people who died as a result of terrorist acts in the subway of Minsk on 11/04/2011 and St. Petersburg on 03/04/2017 were analyzed. Incompatible with life injuries as the immediate cause of death were found only in 33,3% of cases. Profuse blood loss was the immediate cause of death in 66,7% of those killed. The most common (in 87,5% cases) cause of profuse blood loss was internal bleeding: in 7 (50%) cases - due to damage to organs and large vessels of the chest, in 6 (42,9%) cases - due to combined damage to the anatomical structures of the chest and abdomen, in 1 (7,1%) case - due to damage to the parenchymal organs of the abdominal cavity and retroperitoneal space. The leading role in thanatogenesis during the considered explosive peacetime injuries was occupied by blood loss, its specific gravity was 66,7%. Profuse blood loss in 87,5% of cases was due to damage to the organs of the chest and abdomen. Potentially salvable were 7 (29,2%) dead who received damage to the main vessels of the limbs, damage to internal organs without injuring the heart and large blood vessels. Thus, the development of new ways to stop intracavitary bleeding at the advanced stages of medical care for victims with explosive injuries and injuries is a priority aim.