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Analysis of the results of medical care provided by emergency medical teams for injuries in the neck area

https://doi.org/10.24884/10.24884/2072-6716-2023-24-3-29-34

Abstract

The analysis of the results of medical care at various stages of treatment of 86 people who received stab wounds in the neck area was performed. The male wounded predominated, of which there were 65 (75.6%) people, there were 21 (24.4%) women. The study shows that errors in the provision of medical care in the case of a neck injury occur in 31.4% of cases, while such errors were noted in 8.1% of cases when medical care was provided by medical teams of emergency medical care, whereas in the provision of medical care by paramedic teams of emergency medical care in 22.1% of cases. Basically, the errors were associated with incorrect performance of temporary hemostasis and underestimation of the condition of the wounded, as a result, the wounded from this localization developed or had a high risk of developing various compli[1]cations, including shock. This could not but affect the course of the nearest postoperative period with such injuries. Based on the analysis, it was found that in the group of wounded who received medical care by medical teams of emergency medical care, there was a statistically significant decrease in complications and deaths compared to the group where such assistance was provided by paramedic teams of emergency med[1]ical care. From this it can be concluded that neck injuries are the most severe injuries, higher qualifications are required to provide assistance with such injuries, while preference should be given to medical teams of emergency medical care.

About the Authors

V. V. Masljakov
Saratov State Medical University named after V. I. Razumovsky
Russian Federation

Vladimir V. Masljakov

Saratov



Y. E. Barachevskij
Northern State Medical University
Russian Federation

Yuri E. Barachevskij

Arkhangelsk



O. N. Pavlova
Samara State Medical University
Russian Federation

Olga N. Pavlova

Samara



V. V. Voronov
Medical University “Reaviz”

Vladimir V. Voronov

Saratov

 



A. A. Pimenova
Saratov State Medical University named after V. I. Razumovsky

Anastasia A. Pimenova

Saratov

 



D. A. Polikarpov
Medical University “Reaviz”

Dmitry A. Polikarpov

Saratov



N. A. Akmalov
Mari State University

Nizomiddin A. Akmalov

Yoshkar-Ola



References

1. Mustafaev D.M. Neck wound. Bulletin of Otorhinolaryngology, 2018, Vol. 83, No. 3, рр. 75–76 (In Russ.). https://doi.org/10.17116/otorino201883375.

2. Korovkina E.N. Neck wounds. Surgery. Journal named after N. I. Pirogov, 2014, No. 11, рр. 92–94 (In Russ.).

3. Masljakov V.V., Barachevskij Yu.E., Pavlova O.N. et al. Organizational aspects of providing emergency medical care to victims of road accidents with injuries to the facial skeleton. Disaster medicine, 2021, No. 2, рр. 65–67 (In Russ.).

4. Masljakov V.V., Barachevskij Ju.E., Pavlova O.N. et al. Analysis of the results of first aid for injuries of the facial skeleton as a result of road accidents. Security issues, 2012, No. 1 [Electronic resource] (In Russ.). https://nbpublish.com/library_read_article.php?id=35438.

5. Sotnichenko A. B., Shumatov V. B., Stepura A.P. et al. Principles of surgical care and algorithm of therapeutic and diagnostic measures for neck injuries. Pacific Medical Journal, 2003, No. 3, рр. 36–39 (In Russ.).

6. Mosjagin V. B., Chernysh A. V., Ryl’kov V.F. et al. Experience in surgical treatment of neck wounds. Bulletin of the Russian Military Medical Academy, 2012, Vol. 3, No. 39, рр. 86–90 (In Russ.).

7. Zavrazhnov A.A., Samohvalov I.M., Eroshenko A.V. Surgical tactics for neck injuries in peacetime medical institutions. Bulletin of Surgery, 2006, No. 5, рр. 50–55 (In Russ.).

8. Gumanenko E. K., Hromov A. A., Rud' A.A. et al. Dynamic prediction of the development of complications in patients with combined trauma. Modern problems of science and education, 2016, No. 4 [Electronic resource] (In Russ.). http://science-education.ru/ru/article/view?id=24888. https:// nbpublish.com/library_read_article.php?id=35438.


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For citations:


Masljakov V.V., Barachevskij Y.E., Pavlova O.N., Voronov V.V., Pimenova A.A., Polikarpov D.A., Akmalov N.A. Analysis of the results of medical care provided by emergency medical teams for injuries in the neck area. EMERGENCY MEDICAL CARE. 2023;24(3):29-34. (In Russ.) https://doi.org/10.24884/10.24884/2072-6716-2023-24-3-29-34

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ISSN 2072-6716 (Print)