The article is dedicated to the history ambulance establishment and development in Stavropol city/ It outlines the stages of establishing and the main ways of development of ambulance clinic in Stavropol.

The article examined the relationship between professional burnout and emotional intelligence in emergency medical professionals. The author of the article outlined the directions of research on the relationship between emotional intelligence and professional burnout in order to revise the forms of prevention in order to prevent unwanted consequences from professional activity. Correlation analysis was obtained demonstrates the relationship between indicators of intrapersonal emotional intelligence and professional burnout. The correct approach to organization and adherence to preventive practices measures are contributed to the formation of the skills of conscious processing of emotional states in ambulance medical workers, the identification of stress factors, on which the quality of their professional activities depends.

This article examines «City Clinical Emergency Hospital» of the city of Vladimir efficiency statistical dynamics. The main idea is in understanding that the quality of surgical patients care directly dependents on the time limit. Evaluation of the effectiveness of emergency medical care by Vladimir CCH ES allows seeing the demand from the population. The author’s attention is paid to the selective study in dynamics for 10 years, which indicates that the mortality of patients admitted to surgical departments in the first day from the onset of the disease, and patients admitted later than 24 hours increased in comparison with previous years. It is obvious that the level of lethality of patients with acute surgical pathology is influenced by the time of admission to the hospitals which largely determine the prognosis and outcome of diseases.

For the timely provision of a full-fledged volume of emergency medical care, it is necessary to triage patients admitted to the emergency department. The article highlights the tool for the prompt and adequate prioritization of the growing number of patients for the provision of emergency medical care, corresponding to the features of the emergency medical care system in Uzbekistan, during which the opinions of experts working in the emergency medicine system were actively accepted.

The analysis of 75 cases of refusal to hospitalize patients with acute decompensated heart failure was carried out. The overwhelming majority turned out to be elderly women with a high incidence of cognitive impairment. Among the reasons for refusal, 47% indicated an improvement in their condition after receiving assistance from an ambulance team. Such a decision is often based on an apathetic type of attitude towards the disease. At least one in four patients who refuse hospitalization is re-hospitalized or dies within the next 30 days.

In the course of the study, a group of patients with paroxysms of atrial fibrillation and organic myocardial pathology was identified, who were treated with the antiarrhythmic 1C class propafenone at the pre-hospital stage to control the rhythm. The effect of propafenone on hemodynamics in patients with and without organic myocardial pathology was compared.

The article presents achievement analysis of diagnostic criteria for assessing the quality of emergency and specialized medical care, in which, 62 patients of a therapeutic profile were admitted to the hospital. The general criteria was approved by the order of the Ministry of Health of the Russian Federation No. 203n of 10.05.2017, in terms of the volume and timeliness of care. Research results of the compliance of the provided EMА with the criteria for assessing its quality are: in the group of general quality assessment criteria — 1 00% and volume assessment criteria — 9 9,0% and timeliness — 9 8,9%. EMА at the admission of patients with a therapeutic profile to the hospital indicates a high level of its achievement.

The paper presents that the correlation analysis revealed reliable links between the following predictors associated with death in patients with severe traumatic shock: lactate/ACTV, lactate/pH venous blood, body temperature/pH venous blood, вody temperature/lactate, ACTV/Ca ionized. No significant links were found between body temperature and ACTV.

Performing a limited papillosphincterotomy, supplemented by endoscopic balloon dilation, and only endoscopic papillosphincterotomy in patients with choledocholithiasis and parapapillary diverticulum resulted in complete lithoextraction in 92.9% of cases, and adequate drainage of the common bile duct in 100% and 96.4% of cases, respectively. The use of balloon dilation after limited papillosphincterotomy definitely reduces the need for mechanical lithotripsy and the number of postoperative complications.

Purpose of the study was determining late and long-term complications of burn injury and frequency of meeting. A reviewed of Russian and foreing literature was made. This is the result of an study of 98 patients, who were send to hospital for treatment of scar for 3 years. The most common late and long-term local complications: contractures (76,5%), trophic ulcers (7,1%), allergic dermatitis (9,1%), cancer (4,1%), osteomyelitis (3,1%) were identified. Classification of burn complications is proposed. The analysis revealed organizational and methodological problems in the ambulance section. The necessity of creating a system base for medical examination of patients is substantiated.

The feasibility and the recognition of the possibility to transport patients on extracorporeal membrane oxygenation (ECMO) aroused in the 1970s. The number of transporting facilities worldwide was less than 20 in the beginning of the second Millennium. In 2009 the H1N1 pandemic and a publication showing survival benefit for adult patients transported to a hospital with ECMO resource increased both awareness and interest for ECMO treatment. The number of transport organizations increased rapidly. As of today, the number of transport organizations increases world-wide, though some centers where ECMO is an established treatment report decreasing numbers of transports. Since the introduction of the more user-friendly equipment (ECMO-2 era) increasing numbers of low-volume ECMO centers perform these complex treatments. This overview is based on the current literature, personal experience in the field, and information from the authors’ network on the organization of ECMO transport systems in different settings of health care around the globe. Registry data since the entry into ECMO-2 shows that the number of ECMO treatments matter. The more treatments performed at a given center the better the patient outcome, and the better these resources are spent for the population served. A Hub-and-S poke model for national or regional organization for respiratory ECMO (rECMO) should be advocated where central high-volume ECMO center (Hub) serves a population of 10 to 15 million. Peripheral units (Spokes) play an important part in emergency cannulations keeping the patient on ECMO support till a mobile ECMO team retrieves the patient. This ECMO team is preferably organized from the Hub and brings competencies for assessment and decision to initiate ECMO treatment bedside at any hospital, for cannulation, and a safe transport to any destination.