A two-level medical care quality control system for children with severe injury has been developed and tested in accordance with the guidelines of the Ministry of Health of the Rostov region. This control system functions within the existing regional system for departmental control of the Ministry of Health of the Rostov Region, which organizes medical provision of children with traumatic injuries. The first level is to exercise current control over informing about a child's admission to an intensive care unit or ward at a health care facility (HCF) of any level in the region; ambulance team going to a HCF in the region. The second level is a stepwise control that also includes two directions: to submit monthly information on died children under 18 years of age by HCF; annual reports by the principal anesthetists-resuscitators of the region's towns and districts, which includes an analysis of the results of treatment in children with severe injury.
In the event of an accident it is the responsibility of the public health service to attempt to save lives, and to reduce pain and permanent disability. This is done by a complex chain of actions by persons ranging from the provider of first aid to the rehabilitation team. Examination and treatment of the injured patient at the site of an accident and during transport may be very difficult. This is of major importance, however, in order to bring the patient to the hospital under optimal conditions for the hospital treatment. Paramedics, primary care doctors and specialized emergency care teams are all important collaborators in this field. The specific decisions that are made at the various stages of treating a patient with multiple injuries will always be of fundamental importance for the patient.