DISASTER MEDICINE No. 2(102)•2018
1 Federal State Budgetary Military Educational Institution of Higher Education “Military Medical Academy named after S.M. Kirov” of the Ministry of defence of the Russian Federation, St. Petersburg, Russian Federation
2 State-funded health institution “City Station of Emergency Medical Service”, St. Petersburg, Russian Federation
3 State-Financed Institution “Saint-Petersburg I.I.Dzhanelidze Research Institute of Emergency Medicine”, Saint-Petersburg, Russian Federation
4 The Federal State Budgetary Institution “All-Russian Centre for Disaster Medicine “Zaschita” of Health Ministry of the Russian Federation, Moscow, Russian Federation
The statistical data are given that indicate growth of terrorism in the early twenty-first century. The experience of liquidation of medical and sanitary consequences of a terrorist act (the explosion in the subway), in St. Petersburg on April 3, 2017 is presented. The efficient functioning of emergency services of the city in organizing the response is stressed. The general structure of the affected contingent is discussed as well as the ways of their evacuation and the structure of injuries. The medical care provision to two patients with severe concomitant traumas is analyzed. The proposals are made on strengthening the staff of traumatology departments of hospitals and the Service for Disaster Medicine by specialists of military field surgery.
Key words: casualties, clinic of lesions, explosion in subway car, liquidation of medical and sanitary consequences, permanent control method (“Damage control surgery technique”), terrorist acts