Review article

The article reveals the medical concept of the «golden hour» and analyzes the relationship between the effectiveness of using it and the efficiency of road transport provision of ambulance crews in large megalopolises. In the course of research, there were revealed several factors influencing the mobility of the vehicle, namely, the design of the ambulance vehicle, road situation and discomfort of the transported road accident victim, the ambulance crew and the driver. There was worked out a ranging technique allowing specifying the negative significance of these factors in order to identify priorities in their elimination. Based on the assessment of the factors of the road environment, proposals were formulated regarding the formation of a typical route for the delivery of the victim to a medical institution. Accounting these proposals, a traffic route has been developed around St. Petersburg, which in the authors` opinion should be used for an experimental comparative assessment of the ambulance vehicle mobility.