DISASTER MEDICINE No. 4 •2024

https://doi.org/10.33266/2070-1004-2024-4

Original article 

Analysis of Some Issues Related to the Provision of Pre-Hospital Medical Care to Children Injured in Road Accidents

Maslyakov V.V. 1,2, Barachevskiy Yu.E. 4, Sidelnikov S.A. 1, Onishchenko A.N. 1, Polidanov M.A. 1, Shilova N.A. 1, Chamkina K.S. 1, Volkov K.A. 1, Petrunkin R.P. 3

Download the article in pdf format

1 Saratov State Medical University named after V.I. Razumovskiy of the Ministry of Health of the Russian Federation, Saratov, Russian Federation

2 Medical University “Reaviz”, Saratov, Russian Federation

3 Reaviz University, St. Petrsburg, Russian Federation

4 Northern State Medical University of the Ministry of Health of the Russian Federation, Arkhangelsk, Russian Federation

UDC 614.88:347.157.1

Pp. 42-46

 

Summary. The purpose of the study is to analyze the provision of medical care to children injured as a result of road accidents by emergency medical teams and offer recommendations on how to prevent its mistakes.

Materials and methods. The accounting data of the State Traffic Safety Inspectorate for the period from 2020 to 2023 inclusive, as well as statistical data taken from the database of the Saratov Regional Children’s Clinical Hospital for the period from 2020 to 2023 inclusive, on road accidents involving children and adolescents, were used. The results of the provision of medical care to children injured in road accidents by ambulance crews were analyzed. The research method is analytical.

Research results. Analysis of the research results showed:

  1. The condition of children injured as a result of road accidents at the time of assistance is regarded as mild in 22.0% of observations, as severe in 21.0%, as extremely severe in 27.0% and as critical in 30.0% of observations.
  2. Medical care for children who have been injured as a result of road accidents is provided by medical emergency medical teams in 78.0% of cases and in 22.0% of cases by paramedic teams. Errors in the provision of assistance were noted in 4.0% of observations in the provision of assistance by medical teams and in 5.0% of cases in the provision of assistance by paramedic teams.
  3. The total number of deaths among children injured in road accidents was 35.0%. The causes of death in the victims of this group were as follows: traumatic shock – 11.0% of cases; hemorrhagic shock – 3.0% of cases; traumatic brain injuries – 9% of cases and injuries incompatible with life – 5.0% of cases.
  4. The main causes that led to traffic accidents involving children are violation of rules for transporting children – 32.0% of cases and driving into oncoming traffic – 18.0%.

It is noted that the results of the study indicate the need to pay more attention to the organizational problems associated with the provision of medical care to children injured in road accidents. Often, the process of calling an ambulance team and waiting for its arrival takes too much time, especially if the accident occurred in a remote or hard-to-reach place, which can be critical for children with serious injuries. It is also necessary to pay attention to the lack of coordination between various medical services in a large number of cases, leading to delays and improper provision of medical care.

Keywords: ambulance teams, injured children, medical care, pre-hospital period, road accidents, Saratov region

For citation: Maslyakov V.V., Barachevskiy Yu.E., Sidelnikov S.A., Onishchenko A.N., Polidanov M.A., Shilova N.A., Chamkina K.S., Volkov K.A., Petrunkin R.P. Analysis of Some Issues Related to the Provision of Pre-Hospital Medical Care to Children Injured in Road Accidents. Meditsina Katastrof = Disaster Medicine. 2024;4:42-46 (In Russ.). https://doi.org/10.33266/2070-1004-2024-4-42-46

 

REFERENCES

  1. Markova E.V., Rusanova E.A. The Frequency of Occurrence of Various Injuries in Road Accidents and the Mechanisms of their Occurrence According to the Materials of the Izhevsk Republican Clinical Hospital No.1. Mezhdunarodnyy Studencheskiy Nauchnyy Vestnik = International Student Scientific Bulletin. 2016;4(2):218 (In Russ.).
  2. Sipkin A.M., Akhtyamova N.E., Akhtyamov D.V. Characteristics of Acute Traumatic Injuries of the Maxillofacial Region. Russkiy Meditsinskiy Zhurnal = Russian Medical Journal. 2016;14:932-935 (In Russ.).
  3. Maslyakov V.V., Barachevsky Yu.E., Pavlova O.N., Pimenov A.V., Proshin A.G., Polyakov A.V., Pimenova A.A. Organizational Aspects of Providing Emergency Care to Victims in Road Transportation Accidents with Damage to the Facial Skeleton. Meditsina Katastrof = Disaster Medicine. 2021;2:65-67 (In Russ.). https://doi.org/10.33266/2070-1004-2021-2-65-67
  4. Baranova N.N. Medical Evacuation of Victims: State, Problems. Report 3. Meditsina Katastrof = Disaster Medicine. 2019;2:38–44 (In Russ.).
  5. Amcheslavskiy V.G. Klinicheskiye Rekomendatsii (Protokol) PO Okazaniyu Skoroy Meditsinskoy Pomoshchi pri Travmaticheskom Shoke U Detey = Clinical Recommendations (Protocol) for the Provision of Emergency Medical Care for Traumatic Shock in Children. Moscow Publ., 2015. 21 p. (In Russ.).
  6. Baranov A.V. The System of Organizing the Provision of Medical Care to Victims in Traffic Accidents on Federal Highways in Regions of Russia with Low Population Density. Mediko-Biologicheskie i Social’no-Psikhologicheskiye Problemy Bezopasnosti v Chrezvychaynykh Situatsiyakh = Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2022;(2):22–28 (In Russ.).
  7. Baranov A.V., Mordovskiy E.A., Barachevskiy Yu.E., et al. Improvement of Trainings of First Aid Provision for Victims in Traffic Accidents on the Federal Highway in Russian Regions with Low Population Density. Meditsina Katastrof = Disaster Medicine. 2023;1:23-25 (In Russ.).
  8. Kovalev V.A. Some Results of Monitoring of Condition of Medical Equipment Used for Emergency Medical Care of Injured. Meditsina Katastrof = Disaster Medicine. 2009;2:56-57 (In Russ.).
  9. Matveev R.P., Gudkov S.A., Bragina S.V. Organization Aspects of Medical Care Delivery to Casualties with Road Traffic Accident Polytraumas. Literature Review. Meditsina Katastrof = Disaster Medicine. 2015;4:45-48 (In Russ.).
  10. Poroyskiy S.V., Donika A.D., Eremina M.V. Assessment of Medical Specialist’s Preparedness for Professional Activity in Extreme Situations. Meditsina Katastrof = Disaster Medicine. 2014;2:53-54 (In Russ.).
  11. Baranov A.V., Klyuchevskiy V.V., Barachevskiy Yu.E. Organization of Medical Assistance to Victims of Road Accidents at the Prehospital Stage of Medical Evacuation. Politravma = Polytrauma. 2016;1:12-17 (In Russ.)
  12. Kuzovlev O.P., Shablovskiy O.R., Laptev V.A., Ivanov Y.V. Experience of Leading Special-Purpose Medical Aid for Patients, Injured in Emergenciesю Meditsina Ekstremalnykh Situatsiy = Medicine of Extreme Situations. 2011;4:5-13 (In Russ.).
  13. Budantseva L.B., Kostomarova L.G., Fedotov S.A., Stazhadze L.L. Factors Complicating Indexing of Accounting Parameters while Making Victims Lists in Process of Liquidation of Medical and Sanitary Consequences of Emergency Situations. Meditsina Katastrof = Disaster Medicine. 2013;1:10-13 (In Russ.).
  14. Maslyakov V.V., Sidelnikov S.A., Barachevskiy Y.E., Kurkin K.G., Pimenova A.A., Polidanov M.A., Polikarpov D.A., Barulina M.A. Simultaneous Mass Admission of Emergency Victims to Medical Treatment Organizations: Organizational Problems and Possible Ways to Solve them. Meditsina Katastrof = Disaster Medicine. 2023;2:51-55 (In Russ.). https://doi.org/10.33266/2070-1004-2023-2-51-55

 

The material was received 29.07.24; the article after peer review procedure 02.11.24; the Editorial Board accepted the article for publication 05.12.24
Copyright © 2025 “Disaster Medicine” Journal | Powered by “Disaster Medicine” Journal