Results of studying of opinion of the patient on quality and availability of an emergency medical service in St. Petersburg are presented in article. 450 patients brought to the St. Petersburg Scientific Research Institute of Emergency Medicine of I. I. Dzhanelidze by crewsof an emergency medical service in June, 2015 were for this purpose interrogated. Results revealed an appreciation of work of an emergency medical service of St. Petersburg, a significant role of satisfaction of patients in an assessment of availability and quality of an emergency medical service, an important role of the dispatcher of an emergency medical service in evaluation of the work of an emergency medical service in general.

A comparison of pre-hospital t and hospital thrombolytic therapy (TLT) on the clinical and economic indicators at patients with myocardial infarction (MI) was estimated. It is found that the pre-hospital thrombolytic therapy compared with hospital reduced duration of hospitalizationin patients with MI. Economic losses from premature mortality at the hospital thrombolysis exceed similar losses at a pre-hospital trombolizis twice. A time “symptom - needle” decreases for one hour.

Considered are urgent problems of the timely exposure of threatening sudden coronary death (SCD) precursors. Defined are factors and gradation of the SCD risks with out-patients IHD, acute clinical syndromes and tactics of medical care for their development.

The problem of early diagnosis of acute infectious diseases with exanthemas represent a big challenge for the paramedic medical advisory service. So we studied causes of administering emergency medical care by the ambulance crew of infectiologists in Moscow’s hospitals. We determined the role and the diagnostic importance of the ambulance crew in early prehospital diagnosis of infectious diseases.

On the basis of the analysis of 131 ambulance medical cards (7 cities of the Russian Federation) it is established that intensity of acute pain of nonspecific character according VAS in a low back at pre-hospital stage exactly doesn’t lead to changes of arterial blood pressure and cardiac rate and doesn’t depend on nerve root involvement symptom, on age and on gender. Using of a ketoralak tromethamine, ketoprofen and SCENAR-therapy for pain relief is comparable on analgesic effect. Main differences in using between preparations and treatment methods are in the sphere of safety and comfort of using. A basis of a pain relief method choice is absence of contraindications for preparations or a method.

Treatment of 400 patients with acute decompensation of essential hypertension (EH) was analyzed according to emergency call registers in four Russian first-aid stations retrospectively. First-aid station team rarely follows the clinical guidelines for management of patients with acute EH exacerbations, the diagnosis and treatment of disease destabilization causes aren’t satisfactory.

The article consider questions of creation system of doctors and the average medical personnel of air medical crews training. Development of the training program allowing as a result of its development acquisition by listeners of the new professional competences necessary for rendering the emergency medical care at carrying out air medical evacuation is the cornerstone of training.

The article describes clinical, pathologic anatomy, classification strangulated external hernias and tactics of the physician in the prehospital phase of emergency medical care.

In a review article describes methods for assessing ovarian reserve, who exist today. The methods that promote maximum conservation of ovarian reserve in women of reproductive age at the time of surgery on the ovaries.

On the basis of the analysis of literature modern conceptions of pathophysiological mechanisms of systemic manifestations of crush syndrome are discussed.

Considered General characteristics of transport system of Russia. The statistical information on transport disasters. The characteristics of victims in traffic accidents. The data presented predictions about the medical consequences of the most probable traffic accidents. Specified rating of transport safety.

The paper presents the analysis of nosological entityntity structure of patients being hospitalized and treated at the short term treatment department of I. I. Dzhanelidze Research Institute of Emergency Medicine for the period of a year 2012. From 3037 patients admitted mostly from emergency department (97,21%), there were 29,96% of patients admitted from the yellow zone, 1,09% of cases from red zone, 67,86% of cases from green zone. It has been found out that 58,90% of patients were hospitalized for the short term treatment, 37,44% of patients were hospitalized for making a diagnosis. The ratio of diseases of IDC-10 of hospitalized patients was ranged in clinical groups: 55,2% - «Inflammatory disease of gastrointestinal tract, peritoneum, liver, hernia» (D73.5; K20.; K21.0, K22.1.2.6; K25.0.3.4.7.9; K26.4.7.9; K27.0; K29.0.1.3-9; K31.8; K35.9; K38.8; K40.9; K42.1.9; K43.9; K44.9; K45.8; K50.1; K51.0.3.9; K52.8.9; K55.0.1.9; K57.0.3; K58.0.9; K59.0.2; K60.1.2; K62.8; K66.0; K70.3; K71.0.5-7; K73.2.8.9; K74.6; K80.0.1.4.5; K81.0.1; K82.3; K83.1; K85.; K86.0-2; K91.8), 11,8% - «Aorta and peripheral vascular disease» (G95.1; I70.0.2; I72.3; I74.2.3; I80.0-3.8; I82.1; I83.1.2.9; I84.0-2.4.5.7.9; I87.0; I89.0.8; M31.1)

Diagnosis of acute pyelonephritis in accordance with the concept of the role of the immune system in the development and further exacerbation of the inflammatory process is an urgent task. The purpose and objectives of the study was to determine the severity of acute pyelonephritis by examining changes in the level of pro-inflammatory and anti-inflammatory cytokines. The results of the study of proinflammatory cytokines and anti-inflammatory in the urine taken from the ureter, bladder and blood plasma to determine the severity of an exacerbation of chronic pyelonephritis. Proved highly informative IL-8 levels in the urine from the ureter and ureteral catheterization safety during exacerbation of chronic pyelonephritis, which made it possible to carry out a differentiated treatment depending on the severity of the inflammatory process, improve outcomes and reduce the duration of hospital stay.

Studied the results of primary total hip arthroplasty in 62 patients admitted in Emergency Hospital Medical Services with various types of pertrochanteric fractures by classification AO-ASIF. All patients were set foot prosthesis cemented (cement type legs Muller). Concluded that hip arthroplasty with cement- retained prosthesis stem may be the method of choice in stable pertrochanteric fractures of type A1 and stenting in unstable fractures type A2 requires further study.