The article presents information about the personnel structure of the ambulance and emergency medical aid, the analysis of the main indicators of emergency medical care, Moscow for 2008-2013. The prospects of development of emergency medical services in the capital.

The article considers the issues of improving the organization and management of emergency medical care on the basis of the restructuring of the clinical-organizational process. An additional component of the management was a new form of control: audit of work. The work quality of the personnel on the emergency medical service is considered with satisfaction of the patients by medical care.

The article considers the issues of improving the organization and management of emergency medical care on the basis of the restructuring of the clinical-organizational process. An additional component of the management was a new form of control: audit of work. The work quality of the personnel on the emergency medical service is considered with satisfaction of the patients by medical care.

Studied the effect of the combination of ketorolac and antihypertensive drugs on the course of acute pain in vertebral pathology and hypertension. It is concluded that the efficiency combination of ketorolac with moxonidine or propronalolom is more high.

In work markers of an adverse clinical outcome both their predictive and information importance at patients with traumatic shock of heavy degree at a prehospital stage of treatment are presented. It is established that the shock index (3), heart rate (140), hypothermia (35,7), level of consciousness of patients on a scale a lump of Glasgow of 7 points are markers of an adverse clinical outcome at a hospital stage and possess the high informative importance.

This article summarizes the problems and benefits of cardioversion for paroxysmal atrial fibrillation in prehospital and hospital settings as emergency services. The perspectives of its efficacy and safety improving are discussed.

The use of toxic substances in the First world war. The amount of losses among military personnel from defeat poisonous substances. Use as a means of protection from the RC filter of the gas mask. The severity of damage depending on the use of protective masks. The most promising tactical properties of toxic substances used in the First world war.

On the basis of the analysis of literature modern conceptions of mechanisms of the development of acute respiratory distress-syndrome as a complication of different pathological conditions are discussed.

Based on the literature analysis about effectiveness of various groups of anticonvulsants and of our experience is proposed an optimal algorithm for intravenous treatment of seizures and epileptic status at different levels of emergency medical care.

The economic evaluation of effectiveness of emergency department of multidisciplinary hospital is made in this article. Adaptation of emergency department with hospital beds enabled increase cost-effectiveness of specialized hospital departments and the hospital as a whole. It made it possible owing to rationalized patient selection for hospitalization to expensive specialized departments and to lower cost of treatment in emergency department in comparison with treatment on beds of specialized departments. Cost effectiveness of beds of emergency departments in 2012 was 10,5%. It was identified 28,6% of insufficient funding of outpatients in the first day, that requires tariff revision of payment for medical care.

Treatment of somatic pathology and prevention of complications in persons under the influence of alcohol is now unsolved problem that often leads to fatal consequences. Neuropsychiatric hospitals are not suited for this task. Modern health strategy aims to create chambers for treatment of persons intoxicated with multidisciplinary hospital emergency room, which should significantly reduce the mortality rate in these patients.

To determine the optimal and highly informative methods of diagnosis of pancreatic cysts complicated by perforation was developed scale, consisting of five diagnostic features. The sensitivity of the scale is 95,8%, the specificity was 95,7%.

Results of examination and treatment of 142 patients with acute decompensated chronic heart failure in Saint-Petersburg Research Institute for Emergency Care n.a. I. I. Dhanelidze submitted. Part of them were prescribed medications with immunomodulating and anti-inflammatory properties to manage elements of systemic inflammation syndrome. Positive effect of such medications during in-hospital period of time probably continuing to long-time prognosis.

Presents data about informative diagnostic endoscopy to identify the source of bleeding from the upper parts of the gastrointestinal tract in patients with acute coronary syndrome, explained the need for premedication and sedation in this group of patients, ensuring the safety of this diagnostic method, justified the extension of indications for performing endoscopy in patients with acute coronary syndrome before prescrib- ing antithrombotic therapy to prevent the development of bleeding from the upper sections of the gastro-in- testinal tract.