Objective. The purpose of the study is to analyze the structure of rehospitalization of patients after examination and treatment on emergency department beds during the COVID‑19 pandemic. Materials and methods. In 6365 patients after examination and treatment on emergency department beds further cases of rehospitalization were studied according to the data of the Territorial obligatory health insurance fund. Results. In rehospitalization within 30 days needed 12,1% of patients. The main reasons for rehospitalization were: a new coronavirus infection COVID‑19, worsening of chronic ischaemic heart disease, cholelithiasis, chronic pancreatitis, cirrhosis of the liver. Mortality among the rehospitalized patients was 9,9%. The main causes of deaths were: a new coronavirus infection COVID‑19, chronic ischaemic heart disease, acute cerebrovascular accident, malignant neoplasms. A scale has been developed and tested to predict the risk of death in patients after discharge from the hospital emergency department, proven to have good predictive value (AUC=0,89). Conclusions. It is advisable to continue this study in order to scientifically substantiate the risk factors for rehospitalization of patients after examination and treatment on emergency department beds.

Purpose. Conduct a comparative analysis of the tactical decisions made by the transport team and the recommendations of the KSHONN metric scale. Materials and methods. Results. А cohort study of 604 cases of a transport team visits to 564 newborn children hospitalized in medical organizations of the Sverdlovsk region. In the studied sample, according to the tactical decision of the transport team, subgroups of transportable (n=497) and non‑transportable patients (n=46) were identified. On the KSHONN scale, 98 patients had a score of 6–8 points, and 25 patients had 9–14 points. Subgroups are divided according to the decision of the team about transportability. The parameters and type of respiratory and hemodynamic support, monitoring data were studied. Conclusion. Тhere are significant limitations to the use of the KSHONN scale as a tool for assessing transportability and making a tactical decision in relation to a newborn patient. Tactical decisions made by the transport team more accurately assess the severity by the most important elements of multiple organ failure, respiratory and cardiovascular systems.

The most common manifestations of the post‑covid syndrome are cardiovascular disorders that occur both in practically healthy people and in patients who already suffered from cardiac pathology before COVID‑19. The aim of the study was to analyze the cardiovascular problems in patients after coronavirus infection. Materials and methods: 78 patients with laboratory confirmed coronavirus infection were examined, 12 weeks or more after the onset of the disease. The results of laboratory, instrumental research methods and functional tests were evaluated. Results. А wide range of cardiac disorders was registered in the group of patients who were practically healthy before coronavirus infection and in patients with arterial hypertension. Conclusion. Сontrol of hemodynamic parameters, ECG, ECHO‑KG are necessary for all patients with an initial lesion of the cardiovascular system, and for the majority of patients without comorbid pathology with cardiovascular risk factors and with manifestations of post‑covid syndrome. It will make it possible to develop algorithms for the treatment and rehabilitation of this category of patients.

Objective: to study the features of the course of myocardial infarction (MI) in women of different ages at the pre‑hospital period of disease. Materials and methods: 344 women with MI of three age groups were examined: young — up to 45 years old, middle — 45–59 years old, and elderly — 60 years and older. Results: in the majority of young and middle‑aged women, MI was the onset of coronary heart disease. Typical anginal pain was absent in 1/3 cases of young women and middle‑aged women. Delay in hospitalization was associated with both late admission (especially young women) of patients, and insufficient doctor’s alertness, including due to the peculiarities of the clinical picture. Conclusion. In 1/3 of cases MI un women develops without a typical clinical picture, which leads to delay of hospitalization.

In patients of the main group, where videolaparoscopy was used according to indications to sanitize the abdominal cavity for the persistence peritonitis in the postoperative period, there is a high clinical effectiveness of the technique. On the 5th day of treatment, these patients showed a clear tendency towards normalization of clinical and laboratory parameters of physiological processes, a decrease in endotoxicosis and systemic inflammatory response, and a decrease in the severity of the patient’s condition. In the control group, there are 3 times more patients with developed complications than in the main group. In turn, the decrease in the frequency of complications led to a decrease in the mortality rate in the main group of patients.

The review analyzes the available literature on the experimental justification and experience of practical application of existing promising devices for stopping intra‑abdominal and external bleeding in the ilio‑inguinal regions by creating an external local compression. Objective: to analyze the order of application, effectiveness and parameters of safe use of “abdominal tourniquet” for local compression of the abdomen and ilio‑inguinal areas with continued bleeding into the peritoneal cavity and pelvic tissue, damage to the vessels of the ilio‑femoral segment, as well as with high hip detachments, when it is impossible to fix the classic tourniquet. Materials and methods. The analysis of modern domestic and foreign literature, the sacred relevance of the pathology under consideration, the constructive features of the main models of devices for creating external compression in the abdomen and adjacent areas of the body, the experience and results of their application in laboratory and real conditions is carried out. Results. The obtained data allow us to assert that today the following four models belong to the main products of the above‑described purpose: AAJT (Abdominal Aortic and Junctional Tourniquet), CRoC (Combat Ready Clamp), JETT (Junctional Emergency Treatment Tool), SJT (SAM Junctional Tourniquet). The considered devices for creating local compression provide temporary hemostasis in intra‑abdominal bleeding, injury of large vessels of the ilio‑inguinal regions and high separation of the thighs, but their use has a number of features that affect the effectiveness of stopping blood flow. Conclusion. The considered compression devices have design features and limitations, so when creating a domestic analog, additional data on the algorithm of use is needed, depending on the area of the wound and the intended source of bleeding, the timing of fixation, as well as the possible combination of this method of temporary hemostasis with other promising methods of stopping bleeding at the pre‑hospital stage.

An experience of external hemorrhage arrest in combat casualties of XXI century military conflicts (Iraq, Afghanistan) and the results of application of this experience in сivilian emergency pre‑hospital care practice are presented in the review. Data from PubMed, Cochrane Library and other free Internet resources since 2001 to 2021 were analyzed. High effectiveness and safety of modern tourniquets and hemostatic dressings use for hemorrhage arrest both in military and civilian trauma patients were established. The first promising results of application of new perspective hemostatic devices for «non tourniquetable» hemorrhages are presented as well.

This research is dedicated to special training the methods to make use tourniquet in case of injuries of extremities with external bleeding during first aid and medical care in prehospital phase. Clinical experience say insufficient compression during making of tourniquet accompanied by bad haemostasis, over compression accompamied by lesion of tissue. Result of clinical experience with volunteers (kids and adults) gave the middle level of arterial pressure which stop arterial circulation in extremites. In view of result this experience we performed special training for production of «muscle memory» for stop arterial circulation on exerciser original construction.

Objective. The purpose of the study is to analyze the structure of rehospitalization of patients after examination and treatment on emergency department beds during the COVID‑19 pandemic. Materials and methods. In 6365 patients after examination and treatment on emergency department beds further cases of rehospitalization were studied according to the data of the Territorial obligatory health insurance fund. Results. In rehospitalization within 30 days needed 12,1% of patients. The main reasons for rehospitalization were: a new coronavirus infection COVID‑19, worsening of chronic ischaemic heart disease, cholelithiasis, chronic pancreatitis, cirrhosis of the liver. Mortality among the rehospitalized patients was 9,9%. The main causes of deaths were: a new coronavirus infection COVID‑19, chronic ischaemic heart disease, acute cerebrovascular accident, malignant neoplasms. A scale has been developed and tested to predict the risk of death in patients after discharge from the hospital emergency department, proven to have good predictive value (AUC=0,89). Conclusions. It is advisable to continue this study in order to scientifically substantiate the risk factors for rehospitalization of patients after examination and treatment on emergency department beds.

Objective. The purpose of the study is to analyze the structure of rehospitalization of patients after examination and treatment on emergency department beds during the COVID‑19 pandemic. Materials and methods. In 6365 patients after examination and treatment on emergency department beds further cases of rehospitalization were studied according to the data of the Territorial obligatory health insurance fund. Results. In rehospitalization within 30 days needed 12,1% of patients. The main reasons for rehospitalization were: a new coronavirus infection COVID‑19, worsening of chronic ischaemic heart disease, cholelithiasis, chronic pancreatitis, cirrhosis of the liver. Mortality among the rehospitalized patients was 9,9%. The main causes of deaths were: a new coronavirus infection COVID‑19, chronic ischaemic heart disease, acute cerebrovascular accident, malignant neoplasms. A scale has been developed and tested to predict the risk of death in patients after discharge from the hospital emergency department, proven to have good predictive value (AUC=0,89). Conclusions. It is advisable to continue this study in order to scientifically substantiate the risk factors for rehospitalization of patients after examination and treatment on emergency department beds.