[Present-day approaches to the improvement of emergency medical services for patients with risk factors for sudden death at a pre-admission stage].
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Biomedical subjects
Publications and source records attributed to V V Kirillov.
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The application of the myoglobin-latex test was examined to make an early diagnosis of myocardial necrosis in the prehospital period. As many as 142 patients with suspected acute myocardial infarction were studied. The test was employed in bed patients at home at 1.5-60 hour intervals of the onset of pain. The agglutination test was performed by the 5-score minute scale. The results of the latex-test were randomly monitored by radioimmunoassay. The mean myoglobin levels were 35.4 +/- 7.1 ng/ml (maximum 73.2 ng/ml) in the controls. Acute myocardial infarction was diagnosed in 33 patients (at myoglobin levels of 130.3-459.7 ng/ml) in the first hours of the disease. The test is simple and easy-to-use. Its practical application in emergency care is an important reserve for the early diagnosis of acute myocardial damages.
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The use of sterile gastroenterologic and umbilical catheters in clinical practice considerably reduces bacterial contamination and postsurgical complications, they may find application in emergency cases as well. Delivery of sterile catheters in sealed packages saves time of medical personnel engaged in obstetric services, ensures long-term storage of products in a sterile form.
Gastrointestinal and colic catheters provide more effective aspiration from different intestinal sections, cause less postsurgical complications, and reduce recovery period after intestinal diseases followed by purulent and inflammatory processes. The catheters are useful in the management of gastrointestinal diseases, intestinal obstruction, rectum carcinoma. The use of catheters for evacuation and lavage enables fast regeneration of intestinal peristalsis and rapid patient recovery thus preventing possible bedsores.