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Vol. 24, Art. 49 (pp. 667-675)    |    2023       

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Analysis of the structure of fire victims in saint petersburg and leningrad region in 2021

Tolkach P.G.1, Lodiagin A.N.2, Basharin V.A.1, Kuzneycov O.A.2, Yaroshenko D.M.2, Dimitriev Yu.V.3, Golosov R.D.1

1Military medical academy named after Kirov
2St. Petersburg Scientific Research Institute of Ambulance named after I.I. Dzhanelidze
3State scientific-research test institute of the military medicine

Brief summary

The article presents official statistics on the structure of fires in Russia for 2019-2021. The purpose of the study was to analyze the structure of the victims who were exposed to the damaging factors of the fire in St. Petersburg and the Leningrad region in 2021. Materials and methods of the study. The analysis of medical documents of the center (department) of acute poisoning of a multidisciplinary hospital (I.I. Dzhanelidze Research Institute of Emergency Medicine, St. Petersburg) was performed. The results of the study. 16?2% of the victims were exposed to the combined effects of thermal and chemical damaging factors. The proportion of victims exposed to the chemical damaging factor of the fire was 84 ? 3%. Respiratory system disorders were detected in 19?3% of the victims. A serious condition was detected in 54 ? 5% of the victims, a state of moderate severity was noted in 37 ? 5% of the victims, a satisfactory condition was in 9 ? 3% of the victims. Conclusion. It was revealed that more than 80% of the victims are exposed to the isolated effects of the chemical damaging factor of the fire. In addition to the violation of the oxygen transport function of the blood, due to the formation of carboxyhemoglobin, violations of the respiratory system were detected in the victims during X-ray and endoscopic (fibrobronchoscopy) studies. These violations can make a significant contribution to the condition of the victims and the dynamics of the toxic process.


Key words

fire, structure; chemical damaging factor of fire; intoxication of the carbon monoxide; respiratory system; ethanol

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