The article presents a retrospective statistical analysis of the scale and types of emergency and crisis situations in the city of Moscow in 2016. Activities aimed at the state of readiness of the service to work in the emergency.

The paper presents the results of many years of clinical observations that have proven pathophysiological and clinical significance noncardiogenic pulmonary edema in ARDS. The influence of the accumulation of extravascular fluid in the lungs at the efficiency of certain respiratory, respiratory and pharmacological treatment of ARDS was studied. Based on these data the algorithm for diagnosis and treatment of acute respiratory distress syndrome was scientifically justified, developed and offered.

The article presents main trends and problems in treatment of pediatric burn injury. Considered issues that are likely to be of common concern of intensive care: prehospital pain management, fluid overload and hypermetabolism. We presented the results of our own research including current algorithm when patient admission to the hospital and opinion of colleagues. The discussion aims to improve outcomes of children with burn injury.

The object of this study was to identify the specific features of the influence of craniocerebral hypothermia (CCH) on brain temperature, basal temperature, overall energy expenditure and central hemodynamics in healthy and in patients in the acute period of ischemic stroke (IS). The study included 10 healthy volunteers and 54 patients were examined in the acute period of ischemic stroke. The temperature of the brain in healthy and patients with IS was recorded by a non-invasive method using a microwave radiometer. In the healthy group, the cardiac output (litre per minute) was additionally recorded by ultrasound. The indices were fixed before the CCH, at the end of the CCH session and 1 hour after CCH in healthy and after 24 hours in patients. In all groups of patients with IS, a dynamic of changes in oxygen consumption (VOJ, energy consumption of rest (EE), respiratory coefficient (RQ) and cardiac output (CO), developing during and after CCH was analised. The work revealed that CCH provides an effective lowering of the temperature of the brain, which is the basis for reducing the overall EE and VO₂ in patients with IS, emphasizing the need for craniocerebral cooling in the acute period of IS.

The article is devoted to the study of the effectiveness of the domestic local anesthetic Buvanestin and other modern drugs for regional anesthesia Marcaine, Naropin, etc. in surgery and traumatology.

Aim of the study. To make an overview of the modern algorithm of advanced life support of the European Resuscitation Council (ERC) and to assess the compliance with current recommendations of the resuscitation activities of medical personnel in a multi-field hospital. Materials and methods. The study was conducted in a multidisciplinary hospital in Moscow in 2016. At the first stage, the assessment of the skills of basic cardiopulmonary resuscitation (CPR) was conducted; at the second stage - skills of advanced life support was assessed. During the training scenarios teams were audio- and video-recorded, and also parameters of chest compression were recorded. The ERC guidelines 2015 were used as reference criteria. Statistical analysis of the data was carried out with the help of Statistica 7.0. Results. Without the feedback function less than 30% of medical workers performed chest compressions (CC) of sufficient depth and frequency, and the majority fell into a group performing only 0-20 % of compression in accordance with ERC guidelines 2015. Analysis of the quantitative indicators of the implementation of advanced life support in resuscitation teams testified to their inconsistency with ERC guidelines. The rate of CC exceeded the target range in both scenarios. The percentage of CC in target was within the recommended limits in both scenarios. Pre- and post-shock pauses were more than recommended (more than 5 seconds) in both scenarios. Conclusion. The results we obtained prove the inadequacy of resuscitation skills and confirm the relevance of systematic simulation training and retraining.

The article presents the model of creating a seminar Pulmonary Embolism’ within the educational module ‘Medical emergency in the practice of ambulance service’ on refresher courses for doctors of ambulance.

In this article the main statutory documents on health care on health issues of the population of the Russian Federation, including the Health Ministry documents are analyzed at the organization of service of treatment of pain at different stages of delivery of health care in anesthesiology and resuscitation taking into account a possibility of use of the established standards in practical medical activities. The main organizational approaches to the organization of the departments of pain treatment (DPT) on the basis of a versatile medical hospital, their personnel structure, the development strategy, unresolved problems and paths of their overcoming within today and the prospects of development in the future are discussed. Questions of therapy of pain in palliative care by cancer and incurable patient in article are not considered.