The article raises the question of medical ethics in the postmodern era in the aspect of the relations’ be- tween doctor and patient changes which are detected in the substitution of the direct verbal with deper- sonalization and standardization of the treatment process. Comparison of the main characteristics of social processes has revealed that the changes above are the direct results of the postmodern era. Transforming medicine in the part of the service sector, it introduced the new depersonalized identity into medicine: a service provider who works in accordance with medical economic standards (doctor) and a service consum- er (patient). This allows to consider the emergence of medical economic standards as natural result, virtually replacing the category of “morality” for medicine. Possible solutions to correct of the situation on a personal and national level were offered: “simulation of modernity”, return to the classical propaedeutic canon and the synthesis of the modern achievements and the traditional approach.

The article validates the rational respiratory technique of management of cardiac pulmonary edema at the prehospital stage. As a result of the retrospective study it was justified by the advantage of the use of CPAP in the prehospital treatment of pulmonary edema, complicating myocardial infarction.

The purpose of the study was to evaluate clinical efficacy the joint participation of anesthesiologists and intensive care specialists with orthopedists in work of resuscitation-counseling center (RCC) to provide med- ical aid in severe trauma in children. Metods. Design - a prospective, controlled, nonrandomized study. In the investigation were included 216 children. The children were divided into two groups. The control group included 103 children who received treatment during the period from 2000 to 2005 without coun- seling traumatologists. The test group included 113 children from 2006 to 2010. This group was treated with the help of children’s orthopedists, counseling for emergency on-line RCC. Patients of both groups were matched for age, sex, and the nature of injuries. Results. The test group patients nobody no dead. When children were transferred to the specialized center the severity score decreased. Duration of stay chil- dren in district hospitals to transfer in center reduce with 7,6±2,1 to 3,9±1,0 day (p<0,001). Conclusion. The authors found that the joint work of traumatologists and anesthesiologists in the RCC improves the qual- ity of diagnostic, reduces the time to perform emergency surgery and allows for early transfer to a special- ized center for the provision of high-tech care for children with severe multisystem injury.

The mainstays of treatment of systemic effects in victims of burns are various options for fluid therapy. Is it always should begin intravenous infusion in the prehospital? It was established that affected 18 and 64 years without any disease and acute somatic pathology in a phase of sharp aggravation of burns before 25% TBSA and inhalation injury I extent are not accompanied by critical conditions. Prehospital of such victims during the first 6 24 hours after an injury is possible to live a safe enteral rehydration by any kinds of solu- tions (including drinking water) without aggravating effect on the outcome.

The publication presents the structure of the pathology of pregnancy in teenage girls hospitalized ambulance to the hospital. The problems of differential diagnosis in the pathology of pregnancy at a stage of emergency medical care in a shortage of diagnostic possibilities.

On the basis of the analysis of literature modern conceptions of pathophysiological mechanisms of systemic manifestations of crush syndrome are discussed.

Objective: definition of evidence of the effectiveness or possible shortcomings of mechanical devices, in particular apparatus LUCAS, in cardio-pulmonary resuscitation (CPR). Material and methods: a review of publications on the use of a mechanical device LUCAS CPR. Results: the analysis of published data showed that randomized clinical trials failed to demonstrate a survival benefit for patients resuscitated with the use of mechanical chest compression devices. European Resuscitation Council from 2015 to mechanical CPR devices are not recommended for routine use, but stresses that in special situations they may be needed. Evidence of previous studies have shown the positive role of the mechanical system for the LUCAS chest compressions in the activities of such units of the health system, as the ambulance. Conclusions: The system for the LUCAS chest compression is a device that allows you to perform effective chest compressions during cardiopulmonary resuscitation, corresponding to modern methodological guidelines for CPR.

General description of railway transport of Russia is considered. Statistical information over is brought on railway catastrophes. Principal reasons of railway catastrophes. Analysis of size and structure of sanitary losses at catastrophes. The features of organization of curatively-evacuation events are marked.

Comparative analysis of capacity of diagnostic and medical care on pre-post implementation of emergency department of multidisciplinary hospital showed that the frequency of healthcare services significant increased (74,76%) per 100 cases - from 522,6 up to 913,29 services, the frequency of diagnostic services significant increased (74,49%) from 522,6 up to 913,29, frequency of medical services - specialized medical consul- tations (102,89%) - significant increased from 99,32 up to 201,51, care services - from 6,85 up to 40,48 (490,95%). The article emphasized the significant rate of increase of outpatient group of emergency medicine department - 381,43 (admission department) up to 946,92 (emergency department) (148,26%).

We offered the method of microwave radio thermometry (RTM-01-RES) for an estimation of deep bode temperature, differential diagnostics, choosing of therapeutic approach and work in hospital department of Emergency Call service. A method is based on intensity measurement of own electromagnetic radiation of inner body tissue in the microwave region. In the comparative analysis of patients with a lower back pain (n=51) and of control group (n=93) a dependence of deep temperature on age is established. There is not- ed an opportunity to visualize temperature fields and to objectify musculo-tonic compensatory disorders, pain intensity, recrudescence duration, to control treatment

Surgical disease, connected with abdominal adhesions, appeared after development of abdominal surgery and widely spreaded with the growth of operative activity. Despite its long history, diagnosis of abdominal adhesions remains quite difficult and unsolved problem. The paper touched on the diagnosis of various forms of abdominal adhesive disease in pre-hospital and hospital stages.

Drug «Citoflavin» increased antioxidant activity and, consequently, decreased oxidant activity of blood of patients with traumatic shock, that result improvement of сlinical state.

The results of treatment of acute calculous cholecystitis complicated by obstructive jaundice and cholan- gitis in elderly and senile patients with severe comorbidities using miniinvasive puncture draining interven- tions are presented. The authors had reviewed the obtained data and had shown the efficacy of percutane- ous transhepatic and percutaneous transperitoneal interventions in treatment of acute cholecystitis.