Neuroprotection for cerebral disasters at the stage of ambulance

Authors:
V.L. RADUSHKEVICH, A.I. OKUNEVSKY

FSBEI in Voronezh State Medical University named after N. N. Burdenko "of the Ministry of Health of Russia, Voronezh

Place of publication:
MEDICAL ALPHABET No. 19/2017, VOLUME No. 3. EMERGENCY MEDICINE

Abstract:
Relevance. Neuroprotection is a mandatory component of intensive care for cerebral accidents at the pre-hospital and in-hospital stages of medical care. Objective. To identify the characteristics and adequacy of neuroprotection methods implemented by emergency medical care personnel in various cerebral accidents. Materials and methods. To determine the level of knowledge and practical skills in neuroprotection for various cerebral accidents, an anonymous voluntary survey was conducted among 109 physicians of emergency medical care stations and 103 paramedics of the Voronezh city ambulance station. The effectiveness of using neuroprotectors in cerebral accidents was studied using a special protocol attached to the call card of the Voronezh ambulance station teams. Results. Theoretical training in the neuroprotection section is considered sufficient by 75% of physicians and 57% of paramedics. 25% of physicians and 35% of paramedics consider the theoretical training insufficient. The use of Mexidol in intensive care at the pre-hospital stage has a pronounced positive clinical effect.