Public Health
doi: 10.25005/2074-0581-2021-23-3-352-358
INTERDEPARTMENTAL INTERACTION FOR ROAD ACCIDENT CONSEQUENCES ELIMINATION

I.S. Melnikova, E.Yu. Shkatova

Department of Disaster Medicine and Life Safety, Izhevsk State Medical Academy, Izhevsk, Russian Federation

Objective: Analysis of cooperation between the Ministry of Emergency Situations (MChS) and Emergency Medical Services (EMS) personnel in the coordination of efforts to eliminate the consequences of road traffic accidents (RTA) in the city of Izhevsk, Udmurtia, Russia.

Methods: 206 employees of the MChS of Izhevsk, who participated in road accident consequences elimination in 2018, were questioned. Data were extracted from 5052 MChS statistical forms «Card 1/RTA» from 2011 to 2017. Statistical analysis of the data included the calculation of extensive indicators, the weighted arithmetic mean, the calculation of the z-test, smoothing the time series using a moving average, the calculation of the growth rate using the SPSS 22 and Microsoft Excel 2010 statistical software package. The level of statistical significance was taken as p<0.05.

Results: The social survey analysis of the MChS personnel showed that in 80.1% of cases, emergency teams arrived at the accident scene on time. Over the 7-year observation period, according to the statistical forms «Card 1/RTA», in 52.6±3.2% of cases, the ambulance teams arrived at the accident scene after the MChS employees. The questionnaire results on the waiting periods (up to 15 minutes) for emergency teams by the MChS employees match the records data (p>0.05). In 68.5% of cases, one ambulance team attended one victim; in 17.1% and 5.7%, two and three victims, respectively. However, there have been documented cases when one emergency team attended more than 4 casualties of road accidents.

Conclusion: This study addressed one of the aspects of interdepartmental relations; however, some issues remain unresolved. In some cases, it was manifested in uncoordinated interactions between the EMS and the MChS: non-simultaneous arrival of representatives of two departments, insufficient number of emergency teams at the accident scene, incoherence between services at the accident scene.

Keywords: Ministry of Emergency Situations, ambulance, interagency cooperation, traffic accident, rescue work.

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Authors' information:

Melnikova Irina Sergeevna
Postgraduate Student, Department of Disaster Medicine and Life Safety, Izhevsk State Medical Academy
Scopus ID: 57221390195
ORCID ID: 0000-0003-2289-5012
SPIN: 8146-9329
Author ID: 969540
E-mail: Irina.mel.s@yandex.ru

Shkatova Elena Yurievna
Doctor of Medical Sciences, Full Professor, Head of the Department of Disaster Medicine and Life Safety, Izhevsk State Medical Academy
Scopus ID: 57221399803
ORCID ID: 0000-0003-2027-6277
SPIN: 6223-1427
Author ID: 482502
E-mail: army@igma.udm.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Melnikova Irina Sergeevna
Postgraduate Student of the Department of Disaster Medicine and Life Safety, Izhevsk State Medical Academy

426034, Russian Federation, Udmurt Republic, Izhevsk, Kommunarov str., 281

Tel.: +7 (982) 1206583

E-mail: Irina.mel.s@yandex.ru

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