DISASTER MEDICINE No. 1 •2024

https://doi.org/10.33266/2070-1004-2024-1

Original article

Emergency Situations in a Metropolis: Organization and Results of Providing Emergency Medical Care to Children with Thermal Injury

Potapov V.I.1, Budkevich L.I.2,3, Gumenyuk S.A.1, Oborkina D.S.2, Sheptunov G.V.1

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1 Moscow Territorial Scientific and Practical Center for Disaster Medicine (TSEMP) of the Moscow City Health Department, Moscow, Russian Federation

2 N.I. Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

3 Children’s City Clinical Hospital No. 9 named after G.N. Speranskiy, Moscow, Russian Federation

UDC 614.88: 616.001.17:«3635»

Pp. 28-33

Summary. The purpose of the study is to analyze the organization and results of providing medical care to children (affected, patients) who received thermal injury in emergency situations (ES) in the metropolis.
Materials and methods of research. Research materials – data contained in the automated information and analytical system “Disaster Medicine of the City of Moscow” of the Moscow Territorial Scientific and Practical Center for Disaster Medicine of the Moscow Department of Health (CEMP).
Statistical data processing was performed using the StatTech program (Stattech LLC, Russia). During the research, the computing and graphic capabilities of Microsoft Office programs were used.
When carrying out the study, historical, statistical and analytical methods were used.
Research results and their analysis. Of the 285 children with thermal burns received in emergencies, 124 (43.5%) were pronounced dead at the scene of the event before the arrival of emergency medical services (EMS) and specialized emergency response teams.
Of the 161 patients who received emergency medical care, 133 (82.6%) were referred to hospital; 28 (17.4%) – for outpatient follow-up treatment. 24.2% of the total number of patients who received medical care were in extremely serious and serious condition, including 3.1% who required invasive respiratory support. It was noted that in the prehospital period, in 20% of cases, the severity of the condition of patients subsequently hospitalized in the hospital was assessed incorrectly.

Key words: children, emergency medical care, emergency situations, intensive care, medical evacuation, metropolis, thermal injury

For citation: Potapov V.I., Budkevich L.I., Gumenyuk S.A., Oborkina D.S., Sheptunov G.V. Emergency Situations in a Metropolis: Organization and Results of Providing Emergency Medical Care to Children with Thermal Injury. Meditsina Katastrof = Disaster Medicine. 2024;1:28-33 (In Russ.). https://doi.org/10.33266/2070-1004-2024-1-28-33

 

REFERENCES

  1. Borisov V.S., Gumenyuk S.A., Sachkov A.V., Potapov V.I., Teryaev V.G., Karasev N.A. The Structure and Organization of Medical Care for Victims with Thermal Trauma in Emergency Situations. Russian Sklifosovsky Journal “Emergency Medical Care”. 2021;10(1):181-186 (In Russ). https://doi.org/10.23934/2223-9022-2021-10-1-181-186.
  2. 2 Hughes A., Almeland S.K., Leclerc T., et al. Recommendations for Burns Care in Mass Casualty Incidents: WHO Emergency Medical Teams Technical Working Group on Burns (WHO TWGB) 2017–2020. Burns. 2021;47;2:349–370. DOI: 10.1016/j.burns.2020.07.001.
  1. Shokouhi M., Nasiriani K., Cheraghi Z., et al. Preventive Measures for Fire-Related Injuries and their Risk Factors in Residential Buildings: a Systematic Review. Inj Violence Res. 2019;Jan;11(1):1-14. doi: 10.5249/jivr.v11i1.1057. Epub 2018 Nov 11.
  2. Canty KW, De Ridder CA. Burns in Children: Accidental or Inflicted? Adv Pediatr. 2023;Aug;70(1):45-57. doi: 10.1016/j.yapd.2023.03.004.Epub 2023 May 5.
  3. Almeland S.K., Depoortere E., Jennes S., et al. Burn Mass Casualty Incidents in Europe: a European Response Plan within the European Union Civil Protection Mechanism. Burns. 2022;l:S0305-4179, 22:00191–00197. DOI: 10.1016/j.burns.2022.07.008.
  4. Evdokimov V.I., Kourov A.S. Genesis of Research on Burn Injury (Analysis of Domestic Articles in 2005–2017). Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2018;4:108-120. (In Russ.). https://doi.org/10.25016/2541-7487-2018-0-4-108-120
  5. Fedotov S.A., Gumenyuk S.A., Teryaev V.G., et al. Medical Care for Burns Victim on Prehospital Stage and Early Hospital Period. Skoraya Meditsinskaya Pomoshch-2019 = Emergency Medical Services-2019. Materials of the 18th All-Russian Congress, dedicated to the 120th Anniversary of Emergency Medical Care in Russia. May 30-31, 2019. St. Petersburg Publ., 2019:148–149 (In Russ).
  6. Baranova N.N., Goncharov S.F. Current State of the Problem of Organizing and Conducting Medical Evacuation of Victims in Emergencies. Meditsina Katastrof = Disaster Medicine. 2020;4:57-65 (In Russ.). https://doi.org/10.33266/2070-1004-2020-4-57-65
  7. Gumenyuk S.A., Potapov V.I., Sheptunov G.V., Sysoev A.Y. Peculiarities of Respiratory Support in Patients with Severe Pathology during Air Ambulance Evacuation. Meditsina Katastrof= Disaster Medicine. 2021;4:67-72 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-67-72
  8. Araiza A., Duran M., Surani S., et al. Aeromedical Transport of Critically Ill Patients: A Literature Review. Cureus. 2021;13;5:e14889.DOI: 10.7759/cureus.14889.
  9. Warner P., Bailey J.K., Bowers L., et al. Aeromedical Pediatric Burn Transportation: A Six-Year Review. J. Burn Care Res. 2016;37;2:e181–187. DOI: 10.1097/BCR.0000000000000198.
  10. Gumenyuk S.A., Potapov V.I., Sheptunov G.V., Sysoev A.Y. Peculiarities of Respiratory Support in Patients with Severe Pathology during Air Ambulance Evacuation. Meditsina Katastrof= Disaster Medicine. 2021;4:67-72 (In Russ.). https://doi.org/10.33266/2070-1004-2021-4-67-72
  11. Evdokimov V.I. Klassifikatsiya Napravleniy Nauchnykh Issledovaniy v Stat’yakh Po Ozhogovoy Travme v Rossii = Genesis of Research on Burn Injury (Analysis of Domestic Articles in 2005-2018). Nikiforov Russian Center of Emergency and Radiation Medicine of EMERCOM of Russia. St. Petersburg, Politechnika-print Publ., 2020. 189 p. (In Russ).
  12. Mcculloh, Chris & Nordin, Andrew & Talbot, Lindsay & Shi, Junxin & Fabia, Renata & Thakkar, Rajan. Accuracy of Prehospital Care Providers in Determining Total Body Surface Area Burned in Severe Pediatric Thermal Injury. Journal of Burn Care & Research. 2017;39.
  13. Oborkina D.S., Dolotova D.D., Butkevich L.I. Prospects for Improving Primary Health Care to Children with Thermal Injuries. Russian Journal of Pediatric Surgery. 2021;25(3):174-178 (In Russ.) https://doi.org/10.18821/1560-9510-2021-25-3-174-178
  14. Azovskiy D.K., Lekmanov A.U., Budkevich L.I., Pilutik S.F., Gudilov D.S. Efficacy of Pain Management at Prehospital Stage in Children with Severe Thermal Trauma. Vestnik Anesteziologii i Reanimatologii = Bulletin of Anesthesiology and Reanimatology. 2016;13(3):3-8. (In Russ.). https://doi.org/10.21292/2078-5658-2016-13-3-3-8

 

The material was received 09.10.23; the article after peer review procedure 05.02.24; the Editorial Board accepted the article for publication 13.03.24