Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020

Yankina S.V.1, Minaeva N.V.1

Download the article in pdf format

1 Ryazan State Medical University named after academician I.P. Pavlov of the Ministry of Health of the Russian Federation, Ryazan, Russian Federation

UDC 614.88:616.8-009.831(470.313)

Pp. 44-47

Abstract. The study objectives were to investigate the prevalence and to determine the most frequent causes of coma in patients in Ryazan; to determine the frequency of fatal outcomes at the stage of medical evacuation and the frequency of hospitalizations; to identify the features of emergency medical care in the prehospital period.

Materials and methods. We analyzed statistical data on the number of witnesses who applied for emergency medical aid in cases of disturbance of consciousness in patients who were subsequently diagnosed as comatose patients; we revealed main causes and types of comatose states, number of fatal outcomes and frequency of hospitalizations in Ryazan. Materials of the study – cards of calls of ambulance crews in Ryazan in 2016-2020.

Results of the study and their analysis. Analysis of statistical data for Ryazan in 2016-2020 showed a steady increase in the number of ambulance calls to patients in coma. In Ryazan, as in Russia as a whole, cerebral coma prevailed, with diabetic coma in second place and toxic coma – in third. In 2016-2020, the proportion of coma-related deaths was 2.7% in the prehospital period and had no upward trend. In 84% of cases patients were hospitalized in medical treatment organisations, patients with hypoglycemic coma sometimes refused hospitalization, there was no tendency in increase of the number of refusals.

In the prehospital period, ambulance care for patients with coma was provided in accordance with the algorithms, average time to reach the call was 12.4 min, which corresponds to the respective norms for emergency calls for Ryazan.

Keywords: ambulance crews, coma, Ryazan, causes of coma, coma patients, ambulance, fatal outcomes, medical evacuation

For citation: Yankina S.V., Minaeva N.V. Emergency Medical Care for Patients in Coma in Ryazan in 2016-2020. Meditsina katastrof = Disaster Medicine. 2021;4:44-47 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-44-47



  1. Bolobonkina T.A., Dement’ev A.A., Shatrova N.V., Yankina S.V. Factors of Biological Nature in Work of Mobile Teams of Emergency Medical Care Station on the Eve of Pandemics of New Coronavirus Infection (COVID-19). Rossiyskiy Mediko-Biologicheskiy Vestnik imeni akad. I.P.Pavlova = I.P. Pavlov Russian Medical Biological Herald. 2020;28;3:283-289. doi: 10.23888/PAVLOVJ2020283283-289 (In Russ.).
  2. Bolobonkina T.A., Dement’ev A.A., Shatrova N.V. The Severity and Intensity of the Labor Process of Emergency Medical Workers in the Modernization of Health Care. Nauka Molodykh = Eruditio Juvenium. 2019;7;4:501-8. doi:10.23888/HMJ201974501-508 (In Russ.).
  3. Khubutiya M.Sh. Organization of Emergency Medical Care in Case of Emergency Conditions. Zhurnal im N.V. Sklifosovskogo Neotlozhnaya Meditsinskaya Pomoshch = Russian Sklifosovskiy Journal of Emergency Medical Care. 2012; 2:4-7 (In Russ.).
  4. Kondratskaya I.M., Mankovskiy B.N. Emergency Conditions in Diabetology. Comas. Meditsina Neotlozhnykh Sostoyaniy = Emergency Medicine. 2014;5:35-39 (In Russ.).
  5. Yankina S.V., Shatrova N.V., Efratov A.Ju. Prevalence, Structure and Nature of Injuries in City of Ryazan and Ryazan Region, According to Records of Emergency Medical Teams. Meditsina Katastrof = Disaster Medicine. 2021;1:31-34. doi:10.33266/2070-1004-2021-1-31-34 (In Russ.).
  6. Machinskiy P.A., Plotnikova N.A., Ul’yankin V.E., Kemaykin S.P., Rybakov A.G. Comparative Characteristics of the Indicators of Mortality and Letality from Ischemic and Hemorrhagic Insult in Russia. Izvestiya Vysshykh Uchebnykh Zavedeniy. Povolzhskiy Region. Meditsinskie Nauki = University Proceedings. Volga Region Medical Sciences. 2019;3:101-118 (In Russ.).
  7. Dumanskiy Yu.V., Kabanova N.V., Verkhuletskiy I.E., Sinepupov N.A., Osipov A.G., Sinepupov D.N. Comatose States. Meditsina neotlozhnykh sostoyaniy = Emergency Medicine. 2012;4:146-150 (In Russ.).
  8. Gorodetskiy V.V., Vertkin A.L., Lukashov M.I. Management of Patients with Unspecified Coma at the Pre-Hospital Stage. Consilium Medicum. 2007;5;4:75-97 (In Russ.).
  9. Almukhanbetova E.F., Almukhametov M.K., Balkanay B.G., Baysengirova F.A. Therapy of Comatose States at the Pre-Hospital Stage. Vestnik Kazakhskogo Natsional’nogo Meditsinskogo Universiteta = Kazan Medical Journal. 2015;2:233-235.

The material was received 29.09.21; the article after peer review procedure 03.12.21; the Editorial Board accepted the article for publication 13.12.21