Objective: to establish the reasons that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia and to outline ways to solve them. Materials and methods. Official statistical forms, information materials and electronic databases of the State Budgetary Institution of Health of the Republic of Khakassia “Republican Medical Information and Analytical Center” of the Ministry of Health of the Republic of Khakassia (RMIAC) and the Department of State Road Safety Inspectorate of the Ministry of Internal Affairs for the Republic of Khakassia (UGIBDD) were used. Results. An analysis of the causes that impede the provision of ambulance in case of traffic accidents in the Republic of Khakassia is carried out. Of course, persons injured as a result of transport accidents that occurred on the territory of a large city have a better chance of the timely arrival of the ambulance team than those injured as a result of a traffic accident on highways remote from large cities. Conclusion. It is necessary to continue this study for the scientific substantiation of ways to eliminate the causes that impede the provision of ambulance in case of road acci[1]dents in the Republic of Khakassia.

A study was conducted in 149 patients with diagnoses of thoracoabdominal trauma. In order to objectify the severity of the patients’ condition, a visual analog scale was used. To assess the state of the function of the autonomic nervous system in patients of the comparison group and the main group after the therapy, an analysis of heart rate variability was performed during the day. The combined use of dalargin, a narcotic analgesic and a non-steroidal anti-inflammatory drug, provided good analgesia, neurovegetative protection, when examined in the emergency room, the victims of the main group were in contact, which contributed to a more thorough collection of complaints, anamnesis and examination of the patient.

The objective: to evaluate the effect of combined use of analgesics, dalargin and tissue metabolism correctors on endocrine-metabolic disorders in patients with thoracoabdominal trauma who were injured in road accidents.Subjects and methods. A single-center prospective randomized study was conducted in 30 victims of road accidents with thoracoabdominal trauma and traumatic shock. In 15 patients of the main group, in addition to conventional therapy, dalargin, lornoxicam were administered intravenously, and remaxol was infused.Results. The combined use of analgesics, dalargin and correctors of tissue metabolism contributed to the maintenance of cortisol concentration at the level of compensated stress in patients of the main group, which indicated more favorable adaptive capabilities of the body.Conclusions. Intensive therapy in patients of the main group helps to reduce the severity of anaerobic processes, optimize energy processes at the cellular level, reduce the enzymatic activity of the liver, and reduces the hospital stay of patients by 5 bed-days.