The article presents the overview of the admission department work organization in the Republic of Belarus and abroad. The main triage scales, which are applied in the emergency offices work all over the world, are presented. The domestic experience of up-to-date approaches to triage organization is examined using the example of Minsk City Clinical Hospital of Emergency Medical Care.

Legal basis and proper organization of medical assistance for surgical patient in the context of a multifield hospital directly determine its quality, and often the very possibility.

The article presents an analysis of the indicators of emergency medical care in the aftermath of road accidents in the Udmurt Republic for 2011–2017. In General, the situation in this area has an unstable positive dynamics. It is necessary to further improve the work of emergency medical services in the field of road traffic injuries.

The article describes two methods of teaching paramedics emergency medical care respiratory support and a comparison of their effectiveness. The first method the medical institution realized independently. The second method was carried out with the involvement of teachers of higher education institutions. The second method was more effective.

Objective: to study the effect of recombinant superoxide dismutase, included in the complex intensive care, on the antioxidant properties of the blood of patients with acute posthypoxic encephalopathy syndrome.

Material and methods. The study included 34 patients who were treated in the intensive care unit with a diagnosis of acute posthypoxic encephalopathy. Group 1 (n=21) was represented by patients who underwent standard intensive care. In group 2 (n=13), the treatment was supplemented with recombinant superoxide dismutase, administered intravenously with a drug dispenser at a dose of 12.8 million units within 12 hours. Consciousness was evaluated on a scale of Glasgow com and activation — sedation on a scale of Richmond. Spontaneous and induced biochemoluminescence (BCL) of whole venous blood was determined.

Results: In patients of group 2 the phenomena of posthypoxic encephalopathy stopped faster than in group 1. In group 2, all patients were extubated 24 hours after the start of respiratory support, in group 1–57% of patients were extubated after 24 hours, the rest 48 hours after the start of treatment. By the end of the first day, in patients of group 1, spontaneous and induced venous blood BCL considerably increased, significantly exceeding the control values. In group 2, spontaneous venous blood BCL by the end of the first day of intensive care was, on average, lower than in patients of group 1 by 43, 85%, and induced by 52, 49% (p<0.05). By the end of the second day, spontaneous blood BCL in group 2, on average, was lower than in group 1 by 9.2%, and induced by 77.9% (p<0.05). 

Conclusion. Intravenous continuous infusion of recombinant superoxide dismutase, at a dose of 12.8 million units, included in the complex intensive care for patients with posthypoxic encephalopathy, reduces the free radical activity of whole venous blood. A decrease in the free radical activity of blood correlates with a decrease in the manifestations of acute posthypoxic encephalopathy. 

The aim of the research was to demonstrate the possibility of increasing the efficiency of strangulated inguinal hernia surgery treatment by using endovidiosurgical technologies. The research included 108 patients who underwent diagnostic laparoscopy as the first step of strangulated inguinal hernia operative treatment. While performing videolaparoscopy, the methods listed in the article made it possible to achieve reduction of strangulated organs in 93.6% of cases without cutting the strangulating ring. The results of the research convincingly indicate that the use of endovideosurgery in the diagnosis and treatment of strangulated hernias is safe. And laparoscopic access with strangulated inguinal hernias allows a complete revision of the abdominal cavity.

Analysis of application of temporary immobilization equipment in case of injuries of lower extremities and pelvis. Considered the main characteristics temporary immobilization equipment in case of injuries of lower extremities and pelvis and features of their use in the provision of specialized emergency medical care.

The article describes the results of a retrospective analysis of 151 medical histories of adolescent girls hospitalized in an emergency with uterine bleeding, and identifies possible risk criteria for their implementation in the puberty period.

Relevance. Among the purposes and target indicators of the implemented National projects by the end of 2024 it should be noted increase in the expected duration of healthy life, increase in total coefficient of birth rate up to 1.7 on one woman which achievement is impossible without ensuring female health. The purpose: the analysis of a flow of the patients of an obstetric and gynecologic profile coming to a versatile hospital of emergency medical service (2015–2019).

Methodology. Data of the versatile 800-bed hospital incorporating 60 beds for patients of an obstetric and gynecologic profile served as materials of a research. Statistical and analytical methods of a research are used.

Results. The analysis of the entering stream (36.4 thousand in 5 years) with the diagnosis on the “obstetrics and gynecology” profile (the diagnosis of the direction) showed that most of them —  50.6% (р<0.01) were directed by the medical organizations of emergency medical service, 36.3% —  the medical organizations of polyclinic link, 3.2% —  the medical organizations of stationary type, and 9.8% —  independently asked for medical care. 77.6% of patients arrived from 9:00 till 21:00, including 32.9% —  from 9:00 till 12:00; the condition of 94.3% is regarded as satisfactory (р<0.01), only 71.5% of patients came to specialized offices according to a direction profile. The average time of stay of patients in office was about 2 hours (121.2±117.0 min.).

Conclusion. Development of stationary offices of emergency medical service gives the chance of sorting of the arriving patients according to weight of a state and needs in specialized medical and diagnostic actions. The diagnosis only of 71.5% of the arriving patients corresponds to a direction profile. The share of patients (for 50.2%), capable to ask independently for medical care grows. Every fifth patient who is almost arriving in the emergency order receives adequate (necessary and sufficient) the volume of medical care in office of emergency medical service. 

The case report of the cardiac ruptures after resuscitation using the apparatus for mechanical massage is presented. The causes of its occurrence are discussed. Attention is posed to the possibility of adverse  effects of improper use of the device.

Clinical specialists of health care statements as leaders of healthcare have, in lethal cases, always have questions about causal relationship of defects of the performance and about ratings in distribution the disease, which can be the reasons of patient illness. With comorbid statement, as a rule, the atypical competing and related manifestation illnesses could be stated, and there are features of their diagnostics and ambiguity of making tactical decisions, which could be explained as errors (like technological, as an organizational) in treatment and diagnostics. In this article the data of the medical performing case of patient with chronic perforative ulcer and, consequently, peritonitis, is discussed on the polymorbid statement. It is shown, that censure of medical care quality should have arguments not only in clinical manners, but also in organizational meaning, and in taken (in case of inadequate level of examination and treatment) managerial decision, the actions, which can guarantee the excision of errors of medical treatment in future should be taken into account.