Based on an analysis of expert assessments by specialists of the All-Russian Center for Disaster Medicine «ZASCHITA» on routing and quality criteria for medical evacuation, proposals have been developed for the development of a medical evacuation system for patients and injured in emergency situations. The main approaches to solving the problems of medical evacuation in emergencies are presented.  

The clinical and statistical quality analysis for diagnostics of acute coronary syndrome (ACS) at its prehospital phase performed by the accident-assistant squads (AAS) of Krasnodar was carried out. The material of the study was the data base of the integrated automated control system of the emergency medical setting of Krasnodar. The outcome of ACS by far depends upon the well-timed qualitative diagnostics which includes the opinion poll, physical data, ECG‑registration and well-timed admission to the special hospital.  

Purpose of the study. To assess the quality of diagnosis cerebrovascular accident (CA) at the pre-hospital stage in patients brought to the regional vascular center.  

Material and methods. 2708 case histories of the emergency department and accompanying sheets of first aid in patients with a guiding diagnosis of CA and 973 medical records of impatient in the regional vascular center were analyzed.  

Results and conclusion. Of the 2708 patients admitted with a diagnosis of CA, 973 people were hospitalized. Among hospitalized patients, the diagnosis of stroke was confirmed in 96.5% of cases. The most frequent diseases that were mistakenly diagnosed as a stroke turned out to be: diabetes, traumatic brain injury and brain neoplasms, etc. Confirmation of the guiding diagnosis during self-circulation was 36.6%, when delivered by ambulance crews — 39.8%, air ambulance — 86.7% and by sanitary transport — 16.5% of cases.

The article highlights the features of medical evacuations of servicemen with pneumonia in the Arctic zone; provides data on the time spent on medical evacuations of servicemen with community-acquired pneumonia from remote garrisons of the Arctic, as well as factors affecting this indicator. It is proposed to use the inventory for antibacterial therapy of complicated community-acquired pneumonia in case of impossibility of patient evacuation.  

Objective of study was definition of opportunities to use laser doppler flowmetry for accurate determination оf degree of a burn at prehospital stage. This is the result of an study of 25 patients with burn injury in emergency room. It was found communication between indicator of the perfusion and depth of burn wound. It was installed value of the perfusion with help laser doppler flowmetry (ПМ — 1,0 PU), which is diagnostics significant criterion of depth of burn. If indicator of the perfusion is lower 1.0 PU, that is-deep burn, If indicator of the perfusion is above 1.5 PU, that is — superficial burn, indicator of the perfusion is between 1.0 and 1.5 PU, that is — borderline burn. It was developed diagnostic algorithm of treatment.  

The article presents the results of a retrospective analysis of materials and documents of ambulance stations of the Lugansk People’s Republic for the period of the active phase of the armed conflict (2014– 2015) in organizing the provision of medical care for a military trauma. A brief description of sanitary losses among the civilian population and the militia is presented, as well as the problematic issues identified during the medical-evacuation provision of the population are indicated.  

The case histories of 86 patients with diagnoses, isolated and combined trauma, were studied and analyzed. MSCT of the head and neck, organs of the chest and abdomen, bone structures of the pelvis and extremities were performed for all patients. Continuous monitoring of vital functions, SpO2, FiO2, PetCO2, CVP, HR, NPV, AD was conducted, ECG recording was performed. The condition of each patient in the conditions of the reception and diagnostic department was assessed on three scales: VPC-SP, ISS, as well as the scale of patient severity we developed. The scale for assessing the severity of trauma patients, which we developed, is comparable in terms of diagnostic value to the scales of the VPC-SP, ISS and is no less sensitive.  

In work it is presented that application of infusional therapy for patients with heavy traumatic shock at a prehospital stage is not only pathogenetic expedient, but also authentically reasonable component of antishock treatment. It is revealed that the most effective option of volemichesky compensation at patients with heavy traumatic shock at pre-hospital and hospital stages of treatment is application sterofundin isotonic and 4% the modified gelatin.  

The publication presents the results of a comparative study of the use of diagnostic streptotest in the provision of emergency medical care and in the hospital. The possibility of differentiation of diagnoses in diseases of the upper respiratory tract and the development of early tactical and therapeutic measures at the stage of emergency and emergency medical care and in the emergency Department.  

The article presents data on the frequency and structure of comorbid pathology in patients with inferior wall myocardial infarction with right ventricular involvement. Its relationship with the clinical course of myocardial infarction in the acute period was studied. It was shown that patients with inferior wall myocardial infarction with right ventricular involvement have a high comorbid load. It was revealed that a more severe course of the acute period of myocardial infarction in these patients was associated with chronic cerebrovascular ischemia, fatty liver, chronic heart failure I–IIa stages, type 2 diabetes mellitus and obesity.  

The paper presents the results of an experimental study on the effect of a variable frequency-modulated electric field on the course of a wound process in a burn wound. The evaluation of the effectiveness of the antimicrobial action of wound healing agents against the background of an alternating frequency-modulated electric field has been carried out. The bacteriostatic effect of some wound healing agents used in combination with electrical physical and antiseptic action has been proven.  

The results of the analysis of the pathomorphological profile of the histologocaly verified pathology of the female genital sphere in the practice of the emergency hospital are presented. The role of pathohistological examinations in the diagnosis of the diseases and their structure in comparison with the such one in hospitals providing gynecological care routinely are discussed.