This article describes development and introduction of protocol sheet for cardiopulmonary resuscitation that standardizes the reports of Moscow ambulance teams. There’s a noticeable benefit from using protocol for composing a registry for cases of out-of-hospital cardiac arrest.

Immediate witnesses of out-of-hospital cardiac arrest (OHCA) play the leading role in supporting human life. In cases when basic cardiopulmonary resuscitation (CPR) is not performed by the bystanders, precipitous hypoxia brings chances for recovery almost to zero by the time of emergency medical services (EMS) arrival. Carrying out CPR following the instructions given by EMS dispatcher over the telephone (T-CPR) is the fastest and most efficient way of increasing bystander CPR rates. Implementation of T-CPR programs is proved to increase survival from OHCA. Consequently, T-CPR is defined by the effective guidelines for resuscitation as an essential component of pre-hospital care. This review discusses the modern approaches to organizing and implementing T-CPR programs, as well as potential barriers and international experience of T-CPR implementation. The paper is meant for EMS directors and managers, EMS dispatchers and public health specialists.

The article presents the stage results of treatment of patients with out-of-hospital cardiac arrest, who was admitted to ED of the University Clinic. The main obstacle for ECMO-CPR remains a long time of CPR by pre-hospital services. The possibility of using ECMO for conditioning of potential donors by emergency physicians is considered.

This article discusses the issue of routing, diagnosis and treatment of patients with intestinal bleeding, in order to more rapid and accurate diagnosis.

The article is devoted to the mechanisms and epidemiological aspects and diseases arriving in emergency department patients. On the basis of the conducted analysis, identified promising group to increase patient flow in the emergency department. The problems identified in the course of work and ways of their solution.

The article analyzes and compares the risks associated with the usage of methadone and buprenorphine in substitution therapy. The main causes of death and statistical information on mortality from both drugs, as well as methods for the prevention and treatment of poisoning are indicated are pointed.

The article contains information on benign paroxysmal positional vertigo, which is one of the most common causes of dizziness. Data on etiology, epidemiology, clinical manifestations, diagnosis, differential diagnosis and treatment of this disease are presented.

The article presents an overview of monitoring data of emergency surgical care in patients with strangulated hernias in hospital of St. Petersburg in the period from 1953 to 2017.

From 2011 to 2015, in the Alexander hospital, enrolled 656 patients with diverticular disease of the colon. 23 (3.5%) people were admitted as planned, in an emergency 633 (96.5%). Diverticulitis was detected in 504 (79.6%) patients. Of these, 124 (24.6%) were operated on urgently. Primary laparoscopy was performed in 73 (58.9%) patients, 24 (32.9%) of them were operated on in a delayed manner. 380 (75.4%) patients received conservative therapy, 16 of them (4.2%) after relief of acute diverticulitis were also operated on in a delayed manner. 23 patients were operated on as planned for diverticular colon disease. During the study, two equal groups of patients were formed. The results of treatment of patients with delayed surgical interventions (n=40) and planned operations (n=23) were compared. The duration of treatment, the frequency of complications and the number of observations were analyzed, when it was possible to complete a radical treatment without colostomy. According to the results of the study, we concluded that the implementation of delayed operations in diverticulitis of the colon allows to perform radical treatment during one hospitalization. At the same time, the results of delayed interventions are comparable to the results of planned operations with uncomplicated diverticulosis.

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.

This review presents features of the clinical course, of the diagnostic approach and of the treatment of patients with the inferior wall myocardial infarction involving the right ventricle.