smpСкорая медицинская помощьEMERGENCY MEDICAL CARE2072-6716Northwest State Medical University named after II Mechnikov10.24884/2072-6716-2022-23-4-4-17smp-582Research ArticleСТАТЬИARTICLESДистанционное сопровождение первой помощи при травмах: обзор литературы и проект диспетчерского алгоритмаDistance assistance for first aid in trauma: literature review and a draft of the dispatcher algorithmhttps://orcid.org/0000-0002-2789-9760БиркунА. А.BirkunA. A.

Биркун Алексей Алексеевич — доктор медицинских наук, доцент; доцент кафедры общей хирургии, анестезиологии-реаниматологии и скорой медицинской помощи

295006, Симферополь, бульвар Ленина, д. 5/7

SPIN-код 2170–5204

Simferopol

birkunalexei@gmail.comhttps://orcid.org/0000-0002-6380-137XБагненкоС. Ф.BagnenkoS. F.

Багненко Сергей Федорович — доктор медицинских наук, профессор, академик РАН; ректор 

197022, Санкт-Петербург, ул. Льва Толстого, д. 6–8

SPIN-код 3628–6860

St. Petersburg

bagnenko_spb@mail.ruhttps://orcid.org/0000-0003-2932-1724ДежурныйЛ. И.DezhurnyL. I.

Дежурный Леонид Игоревич — доктор медицинских наук, доцент; главный научный сотрудник; главный внештатный специалист по первой помощи Минздрава России; 

127254, Москва, ул. Добролюбова, д. 11

SPIN-код 5570– 6513

Moscow

DL6581111@gmail.comИнститут «Медицинская академия им. С. И. Георгиевского», Крымский федеральный университет им. В. И. Вернадского; Крымский республиканский центр медицины катастроф и скорой медицинской помощиРоссияMedical Academy named after S. I. Georgievsky of V. I. Vernadsky Crimean Federal University; Crimean Republican Center of Disaster Medicine and Emergency Medical ServicesRussian FederationПервый Санкт-Петербургский государственный медицинский университет им. акад. И. П. ПавловаРоссияPavlov First St. Petersburg State Medical UniversityRussian FederationЦентральный научно-исследовательский институт организации и информатизации здравоохраненияРоссияFederal Research Institute for Health Organization and InformaticsRussian Federation202210122022234417Copyright © Биркун А.А., Багненко С.Ф., Дежурный Л.И., 20222022Биркун А.А., Багненко С.Ф., Дежурный Л.И.Birkun A.A., Bagnenko S.F., Dezhurny L.I.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://smp.spb.ru/jour/article/view/582

Будучи частой причиной смерти и инвалидизации, травмы остаются высокоактуальной глобальной проблемой общественного здоровья. В России травмы занимают одну из лидирующих позиций в структуре смертности населения, обусловливая значительные социальные и экономические потери государства. При том что вероятность сохранения жизни и предупреждения тяжелых осложнений при травмах в значительной мере зависит от способности свидетелей происшествия своевременно и правильно оказать первую помощь (ПП) пострадавшим, реальная частота оказания ПП остается низкой. Перспективным способом вовлечения необученных людей в процесс оказания ПП является дистанционное инструктирование свидетелей происшествия по вопросам оказания ПП силами диспетчеров экстренных служб. В данной статье рассмотрен международный опыт диспетчерского сопровождения ПП при травмах и представлен проект универсального русскоязычного алгоритма дистанционного диспетчерского опроса и консультирования очевидцев происшествия по вопросам оказания ПП при травмах, разработанный с учетом положений действующих российских и международных рекомендаций. Алгоритм предлагается для дальнейшей апробации и внедрения в практическую работу диспетчеров экстренных служб как базисный компонент отечественной программы диспетчерского сопровождения ПП.

Being a common cause of death and disability, injuries remain a highly relevant global public health problem. In Russia, injuries hold one of the leading positions in the structure of mortality of the population, causing significant social and economic losses for the country. While the likelihood of saving lives and preventing severe complications in injuries largely depends on the ability of witnesses of the incident to early and correctly provide first aid (FA) to the victims, the actual frequency of providing FA remains low. A promising way to involve untrained people in the process of providing FA is to remotely instruct witnesses of the incident by emergency dispatchers on how to give FA. This article discusses international experience of dispatcher assistance for FA in trauma and presents a draft of a universal Russian-language algorithm for remote dispatcher interviewing and advising witnesses of the incident on provision of FA in trauma, that was developed taking into account the current Russian and international guidelines. The algorithm is proposed for further appraisal and implementation in the practical work of emergency dispatchers as a basic component of the federal program of dispatcher assistance for FA.

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The authors declare that there are no conflicts of interest present.