29 emergency departments (ED) with hospital beds were functioning in 2018 in the Russian Federation (RF). Within the period 2014–2018 the bed capacity has been increased from 415 to 737, which portion is increased from 0,036% to 0,071% (in 2018 the portion of daily bed was 27,3%, the portion of the bed of short stay department was 72,7%). The number of discharged patients has been increased from 94545 to 306757. Therewith the portion of patients referred from ED to specialized units has been decreased from 19,0% to 11,1%. The average annual bed occupancy rate is 276,6 and 274,1. The bed turnover has been increased from 262,6 to 447,2. The lethal index is decreased from 0,18% to 0,13%. Bed population ratio keeps at the low level (5.0 bed per 1 million people which is rated as 4,5% from recommended values). Additional introduction of hospital departments of emergency medicine in 56 federal subjects of the RF al­lows quicker to achieve the goals of the National Project «Health care».  

Battlefield lethality remains the most underexplored problem from the surgical point of view. 540 battle­field fatalities during the military operation in the North Caucasus region of Russia (1994–1996) were ana­lyzed. It was found that 25.4% of all “Killed In Action” refer to the group of potentially survivable. Common causes of combat death in this group were prolonged hemorrhage (78.1%), tension pneumothorax (19.0%), and hemopneumothorax (2.9%). Reducing mortality can be attained due to introduction of new means of control for life-threatening consequences of injuries, improving tactical evacuation, as well as training mili­tary personnel in providing combat lifesaver care.  

The article is devoted to the analysis of the work of the surgical service of the urban multidisciplinary hospital before and after the opening of the emergency department. Based on the data obtained, the role of the emergency department in the work of the surgical profile has been identified, nosologies and prospective groups have been identified to increase the flow of patients in the emergency department.  

A comparison of the efficacy and safety of the ACE inhibitor captopril and the centrally acting moxonidine has been carried out. The randomized trial included 45 patients randomly divided into two groups. 24 patients received captopril, 21 patients received moxonidine. All patients received furosemide. From the very beginning of the study, blood pressure an heart rate was monitored during the day. It was shown that the efficacy and safety of the compared drugs in the first 30 minutes did not differ significantly. However, the effect of captopril, even in combination with furosemide, lasted no more than 6–8 hours, and moxonidine with furosemide — 18–24 hours. Cases of excessive decrease in blood pressure in both groups were rarely observed. Thus, the compared drugs in the first 30 minutes after administration do not differ in effectiveness. At the same time, daily monitoring of blood pressure showed that the effect of captopril more briefly. Moxonidine acts longer and allows you to more effec­tively control blood pressure fluctuations during the day. High efficacy and good tolerability of both drugs allow recommending them to patients as a means of self-help in case of high blood pressure. The use of daily monitor­ing of blood pressure allows to make therapy personalized.  

Aim. To study feature of the current NSTE-ACS and changes of a morfo-functional condition of a myocar­dium at elderly patients in dependence time of revascularization.

Tasks. To compare the current NSTE-ACS at very high and high risk of myocardial infarction and early death between elderly and average age patients. To estimate feature of the current NSTE-ACS at very high and high risk of myocardial infarction and early death at elderly.

Material and methods. Research massif is 144 patients with NSTE-ACS at very high and high risk of myocardial infarction and early death who underwent coronary balloon angioplasty with stent­ing infarct-related artery. By age and time of revascularization all were distributed into groups. Additional all groups were analyzed of complications NSTE-ACS.

Results. The study found that despite delay in time of revascularization of elderly patients with NSTE-ACS at very high risk, the percent of hospital complica­tions was similar to the percent of patients average age with NSTE-ACS. These patients were underwent revascularization in correct time. There was not negative dinamics in morfo-functional condition of a myo­cardium in group of elderly patients with NSTE-ACS at very high risk and delay in time of revascularization.

Conclusion. Elderly patients with NSTE-ACS with life-threatening ventricular arrhythmias or severe heart failure may be underwent revascularization until 24 hours since arrival to the hospital after early ischemic complications were treated. Elderly patients with refractory angina should be taken to an invasive treatment in mildest time.  

The basic analysis of Minsk City Ambulance Station and Minsk City Emergency hospital medical practice for the period 2015–2017 is presented in this paper. Comparison with the similar data for other regions of Belarus is performed. Medical aid typical defects are revealed and discussed. Recommendations for diagnostic and treatment improvement are formulated.  

In the article the results of conservative and operative treatment of 122 patients ranging in age from 42 to 80 years of age with acute delay of urine caused by benign prostate hyperplasia in the urology Department Alexander Hospital 2016 to 2018 years. n men, the most common cause of SSM is safe giperplazia (adenoma) prostate (BPH), found in the 45–53% of observations, tending to cause heart attacks in prostate tissue and in­creased Alpha-adrenergic activity. The main pathogenetic factor SSM in men is BPH, where heart attacks occur in the prostate tissue and increased Alpha-adrenergicheskaja activity. In 1 group comprised 42 patients diag­nosed for the first time, SSM, caused by BPH, in Group 2–80 patients with multiple SSM caused by BPH. All patients of Group 1 after combination therapy of Alpha alfuprost MICRORAION adrenoblokatorom in com­bination with jelefloksom noted restore self-sustaining urination. In Group 2 at 72 patients recovered partially and urinating they have plus sizes BPH, they performed Transurethral enucleation of BPH with positive effect.  

The significance of the development and manufacturing of new dressing aids utilizing alternative materials is steadily growing. One of the perspective trends in the sphere of dressing materials is the use of viscose rayon. The paper presents the results of the study of effectiveness, safety and perspectives of fixing elastic bandage use in the setting of pre-hospital and hospital emergency medical care.  

The second part of review highlights the role of residual lipid and thrombotic risks in coronary heart disease patients and possible ways of its correction. The results of randomized clinical trials dedicated to the efficacy of new class of hypolipidemic drug (PCSK‑9 inhibitors) in acute coronary syndrome setting are discussed. Recently published new guidelines of European Society of Cardiology on acute coronary syndrome management are also highlighted.  

Diagnosis and primary care for unstable patients with hypotension and shock should be accurate and prompt. Ultrasound is ideal for assessing critically ill patients in a state of shock, it allows direct visualization of pathology and differentiation of shock conditions. Rapid Ultrasound in Shock (RUSH) meets the basic requirements of emergency medicine — speed, information content, safety, the ability to dynamically control. This bedside protocol demonstrates the speed and accuracy of determining the etiology of shock in the hands of an ambulance doctor. According to the RUSH protocol, three key physiological processes are evaluated, which are called: pump, reservoir and pipes, which allows a systematic approach to the study