The Severity and Intensity of the Labor Process of Emergency Medical Workers in the Modernization of Health Care

Bolobonkina, Tatyana A.

doi:10.23888/hmj201974501-508

Cited by 7 publications

(5 citation statements)

References 3 publications

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“…В догоспитальном периоде при нехватке времени для сбора анамнеза допускается ставить диагноз «кома неуточненная» и указывать её предполагаемые причины. Допустимы также «синдромальная» оценка и фиксация причин патологического состояния 2 .…”

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“…и инфекционными патологиями; с большим количеством черепно-мозговых травм (ЧМТ), а также с ростом числа людей, злоупотребляющих алкоголем, наркотическими и психотропными препаратами [1]. В догоспитальном периоде диагностика коматозных состояний затруднена в связи с недостаточностью времени и медицинского оснащения, а также в связи с необходимостью оказания экстренной медицинской помощи (ЭМП) в короткие сроки [2]. Выявление в минимальные сроки этиологии комы не менее важно для определения дальнейшей стратегии оказания ЭМП, но только после обеспечения поддержания жизненно важных функций (дыхание и кровообращение) 1…”

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“…Уфа, 2018. 63 с 2. Алгоритмы оказания скорой медицинской помощи вне медицинской организации: Пособие для медицинских работников выездных бригад скорой медицинской помощи / Под ред.…”

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Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020

Yankina¹,

Минаева²

2021

Disaster Medicine

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The study objectives were to investigate the prevalence and to determine the most frequent causes of coma in patients in Ryazan; to determine the frequency of fatal outcomes at the stage of medical evacuation and the frequency of hospitalizations; to identify the features of emergency medical care in the prehospital period. Materials and methods. We analyzed statistical data on the number of witnesses who applied for emergency medical aid in cases of disturbance of consciousness in patients who were subsequently diagnosed as comatose patients; we revealed main causes and types of comatose states, number of fatal outcomes and frequency of hospitalizations in Ryazan. Materials of the study – cards of calls of ambulance crews in Ryazan in 2016-2020. Results of the study and their analysis. Analysis of statistical data for Ryazan in 2016-2020 showed a steady increase in the number of ambulance calls to patients in coma. In Ryazan, as in Russia as a whole, cerebral coma prevailed, with diabetic coma in second place and toxic coma – in third. In 2016-2020, the proportion of coma-related deaths was 2.7% in the prehospital period and had no upward trend. In 84% of cases patients were hospitalized in medical treatment organisations, patients with hypoglycemic coma sometimes refused hospitalization, there was no tendency in increase of the number of refusals. In the prehospital period, ambulance care for patients with coma was provided in accordance with the algorithms, average time to reach the call was 12.4 min, which corresponds to the respective norms for emergency calls for Ryazan.

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Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020

Yankina¹,

Минаева²

2021

Disaster Medicine

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“…Однако в догоспитальном периоде в некоторых случаях установить отравляющее вещество не представляется возможным, особенно, если пострадавший находится без сознания и рядом нет очевидцев происшествия. В таких случаях врачи СМП обеспечивают поддержание жизненно важных функций организма и осуществляют максимально быструю доставку пострадавшего в стационар [2]. Несмотря на улучшение качества оказания СМП в России летальность от острых отравлений попрежнему высока и составляет в догоспитальном периоде около 17% [3].…”

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Structure and Dynamic of Acute Poisonings in the City of Ryazan in 2016-2021

Yankina¹,

Minaeva²

2023

Disaster Medicine

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Summary. Investigation purposes – to analyze a structure of acute poisonings in the city of Ryazan in 2016-2021; to identify a summary dynamic of poisonings and poisonings classified according to separated toxicants, as well as sex characteristics. Materials and methods of the investigation. Investigation materials – maps of ambulance crew calls in the city of Ryazan in 2016-2021. Investigation results and their analysis. An analysis of statistic data collected in 2016-2021 showed a derision of ambulance calls for victims with acute poisonings. In Ryazan, as well as in Russia at all, alcohol poisonings and toxic spirits poisonings prevailed. On the second position there were medicines poisonings, on the third there were different fumes, chlorine vapors, carbon dioxide methane and others vapors. Among medicines poisonings a psychotropic, anticonvulsant, sedative and hypnotic medicines poisonings prevailed. Among the patients males prevailed primary because of alcohol and toxic spirts poisonings as well as drugs and psychodysleptics poisonings. In 2016-2021 proportion of lethal outcomes caused by acute poisonings was 0,1% in pre-hospital period and didn’t have tendency to increase. Patients were hospitalized to medical treatment organizations in 57,5% of cases. Data on the spread and dynamic of acute poisonings allow to determine linkers for organization measures in a context of urgent medical treatment provision in pre-hospital period.

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“…Введение. Профессиональная деятельность медицинских работников сопряжена с воздействием на организм комплекса неблагоприятных факторов производственной среды и трудового процесса [1,2]. Среди них одним из ведущих является биологический фактор, во много определяющий класс условий труда [3,4].…”

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Incidence of New Coronavirus Infection among Emergency Medical Services Workers

Болобонкина¹,

Дементьев²,

Минаева³

et al. 2020

PH&LE

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Summary. Introduction: A biological factor is the leading occupational hazard for healthcare professionals. Identification of risk factors for novel coronavirus disease 2019 (COVID-19) in ambulance employees and substantiation of measures to prevent the spread of this infection is a modern-day challenge. The purpose of our study was to examine COVID-19 incidence rates in emergency medical services (EMS) workers and to identify occupational risk factors for this infection. Materials and methods: We studied COVID-19 cases among Ryazan ambulance employees in terms of their age, sex, position, and specialty taking into account disease severity and duration for the period from May 1, 2020 to September 1, 2020. Results: We established higher relative risk values and incidence rates of the novel coronavirus infection in EMS workers compared to the population of the city of Ryazan (p < 0.05). In May–August 2020, COVID-19 cases among the ambulance employees and the population of Ryazan, as well as the number of EMS-attended patients with acute respiratory infection followed a similar pattern. The number of COVID-19 cases among the staff of resuscitation crews was significantly higher than that in the general practice and other specialized crews (p < 0.05). We estimated a statistically significant high relative risk of a longer and severer course of the disease among physicians compared with paramedics (RR = 1.333; p < 0.05) and among EMS workers aged 61 or older (RR = 1.286; p < 0.05). Conclusions: Emergency medical services workers have a high occupational risk of COVID-19 in the pandemic. Among them, employees aged 31–35 and resuscitation crewmembers face a higher risk of infection. Elderly employees aged 61–64, medical doctors, and general profile EMS workers are most at risk for a more severe and durable disease course.

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The Severity and Intensity of the Labor Process of Emergency Medical Workers in the Modernization of Health Care

Cited by 7 publications

References 3 publications

Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020

Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020

Structure and Dynamic of Acute Poisonings in the City of Ryazan in 2016-2021

Incidence of New Coronavirus Infection among Emergency Medical Services Workers

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