The article provides information about the statistical reporting of emergency medical care, which was  filled in our country from the middle of the last century to 2013. The structure of the form of Federal statistical observation № 30 «Information on the medical organization», in which data on the work of emergency medical care are entered since 2014, is considered. Problems on filling of information on activity of an  emergency medical service in the form № 30 are defined: tables on an emergency medical service are provided in different sections; there is no approved instruction on their filling. All this makes it difficult to analyze the _work of the emergency medical service.

Comparative analysis of medical care availability and quality revealed that emergency care doctor delivered medical care more effective in comparison with a surgeon and therapeutist. Herewith decreased the  waiting time among patients of initial examination (from 17.0 to 9.0 min) and frequency of difference in diagnosis (from 22.8 to 24.6).

Current incidence and characteristics of subaxial cervical and thoracolumbar spine injuries in a metropolitan area in Russia (in St. Petersburg) were studied. The results showed the annual incidence of 15.4 cases per 100,000 population, and the relative frequencies found to be high were that of isolated trauma with  SCI (41.8% and 23.7%) and of spine injuries in polytrauma patients (7.5% and 7.9%). Also, the relatively  low need for allocated specialty beds was adequately supplied in the setting of centralized delivery of acute  spine services.

The purpose of the work was to study the nosological structure of rheumatologic patients hospitalized  in emergency hospitals. The analysis of the obtained distribution and its comparison with the structure  of patients at the Scientific Research Institute of emergency care named after I. I. Djanelidze and the City  Rheumatology Center were done. Determination of the current structure of hospitalization of rheumatologic  patients can serve as a basis of its forecasting for the subsequent periods.

This work shows the analysis of the structure of calls to patients with heart rhythm disorders and the analysis of the existing model of medical assistance for patients with violations heart rhythm in St. Petersburg.

In work results of the research executed at 50 patients with hemorrhagic shock of the 3rd degree are presented. It is revealed that at the remaining shock phenomena, elimination of deficiency of oxygen at patients  happens due to high consumption of oxygen fabrics which is carried out only due to his increased extraction  from arterial blood. At elimination of symptoms of shock at patients correction of deficiency of oxygen is  carried out at the expense of two mechanisms: increases in productivity of heart and his increased extraction  from arterial blood.

Laboratory tests are one of the most commonly ordered tests in the ED and often the rate-limiting  factor in the workup of a patient. The pneumatic tube system (PTS) can use to provide quick specimen  delivery. First aim of this study was to assess PTS by comparing routine chemistry, hematology, coagulation  blood test results and sample integrity indices between duplicate samples transported either manually or  automatically. Also we tried to assess the contribution of PTS to reduction in lab turnaround times.

The purpose of the study was to study the peculiarities of the diagnosis of perforations of hollow  organs in patients with infectious diseases. The medical history of 113 patients treated in two hospitals of  St. Petersburg in 2001–2011 was analyzed. It has been established that in infectious patients the symptoms  of perforations of hollow organs are “blurred” against the background of vivid clinical manifestations of  infectious diseases. Diagnostic laparoscopy (sensitivity 100%) and survey radiography of the abdominal  cavity organs (sensitivity 86.5%) are the most informative of instrumental methods of research.

Transcatheter embolization of the left gastric artery, its branches and the gastroduodenal artery as part  of the combination therapy of gastroduodenal ulcer bleeding can significantly improve the outcome of the  treatment. Arterial embolization is an alternative to the surgical treatment of ulcer bleeding and an operation  of choice for high-risk surgical patients.

Results of treatment of 123 patients with acute violation of cerebral circulation, taking into account treatment in the prehospital phase. Patients were divided into two groups with consideration of respiratory support. Identified that the lack of respiratory support leads to the development of respiratory acidosis, which in  turn leads to lower survival rates. and aggravation of neurological deficit.

The paper describes the history and the present of non-invasive ventilation, the therapeutic method  which plays an essential role in the therapy of acute as well as exacerbations of chronic respiratory illnesses.  It focuses on indications and contraindications, adverse effects as well as some pitfalls of this therapyat  prehospital stage.

Obtaining important diagnostic iformation using imaging techniques is the cornerstone of urgent medicine, as early diagnosis facilitates the rapid conduct of adequate treatment interventions and improves the  prognosis for a patient’s life. Ultrasound (ultrasound) provides emergency physicians with valuable diagnostic information for a few seconds or minutes and is an important means of quickly sorting patients with  unstable hemodynamics and facilitating rapid decision making. This article summarizes information about  urgent ultrasound in patients with severe trauma.