DISASTER MEDICINE No. 2(106)•2019
PRINCIPLES OF ORGANIZATION, SEQUENCE AND PECULIARITIES OF RENDERING MEDICAL ASSISTANCE TO VICTIMS WITH BURN INJURIES IN EMERGENCY SITUATION Download the article in pdf format
Yunusova Yu.R., Shapovalov S.G., Sukhoparova E.P., Aleksanin S.S.
Nikiforov Russian Centre of Emergency and Radiation Medicine of EMERCOM of Russia, St. Petersburg, Russian Federation
The principles of organization, sequence and features of medical care for victims with burn injuries in an emergency situation are presented on the example of liquidation of medical and sanitary consequences of fire in the night club “Lame Horse” in Perm (2009). The data on overall and hospital mortality, average length of hospitalization, timing of first and last discharge, frequency of complications, etc. are analyzed. It was noted that neurological disorders and infectious complications were most frequent in the structure of complications, and among the causes of death – multiple organ failure, acute poisoning by a complex of toxic substances, pneumonia and sepsis; and the maximum number of deaths occurred during the period of acute burn toxemia.
The issues of medical evacuation of victims to medical institutions of other cities are considered. The model and principles of organization of medical care delivery to victims with burn injury in emergency situations are proposed.
It is concluded that the effective provision of specialized medical care in the case of mass admission of victims with severe burn injuries is possible only in a multidisciplinary medical institution.
Key words: causes of death, discharge time, duration of hospitalization, emergency situation, fire in the night club “Lame Horse” (2009), frequency of complications, medical care, medical evacuation, mortality, sanitary-aviation evacuation, thermal and inhalation injury, victims with burn injuries
For citation: Yunusova Yu.R., Shapovalov S.G., Sukhoparova E.P., Aleksanin S.S., (Principles of Organization, Sequence and Peculiarities of Rendering Medical Assistance to Victims with Burn Injuries in Emergency Situation), Disaster Medicine, 2019; 2(106): 15–21 (In Rus.).
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