Dezhurny L. I.¹, Neudakhin G.V.¹, Yurasova E.D.²,Luigi Migliorini², Shmitkova T.I.^3
1Federal Research Institute for Health Organization and Informatics, Ministry of Health of the Russian Federation, Moscow
² World Health Organization country office of the Russian Federation, Moscow
³ Healthcare Department of the Lipetsk region, Lipetsk

Contacts: Leonid Dezhurny, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Abstract. In the Russian Federation, like all over the world, the road crash mortality and trauma have become a serious public health problem. In case a victim was injured, it is possible to reduce its impact by provision of rapid and effective first aid and emergency medical care before admission.

The regular meeting of the Advisory Board for the World Health Organization Project on Road Safety in 10 Countries (RS-10) hosted by the Russian Federation made a decision to explore potential impact of post-crash first aid provision.

The purpose of the study was to identify among the injured in road accidents in the Lipetsk region the category of people whose lives could potentially be saved by timely first aid.

The subject of a study was "Acts of forensic medical examination of the corpse" (medicolegal reports).

The study was implemented in two stages.

At the first stage victim’s survival chances were assessed. The results were studied by two methods: score evaluation of trauma severity of the road traffic injury and expert evaluation of trauma severity of the road traffic injury and assessments of chances to save life.

At the second stage of the study injury severity scores (scales AIS-90\ISS) and expert evaluation were compared. According to the forensic medical examination protocols, there was no evidence of first aid provided to the road crash victims documented. However, almost half of victims had a chance for survival in case of timely first aid. This finding demonstrates that first aid must be provided on the scene of the road accident.

Conclusion. To reduce road crash mortality and trauma, the system of post-crash management of road traffic injury victims in the Lipetsk region should be further improved including activities aimed at increasing frequency and quality of first aim provided by drivers, staff of services responsible for first aid provision according to law regulations, special rules etc.

Key words: first aid; mortality; road traffic accident; emergency medical care.

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