Relevance. Due to busy roads of large cities and the resulting slow movement of ambulances with severely affected patients in need of specialized emergency care, new organizational technologies for medical evacuation support as well as modern means of transporting patients to qualified hospitals are required.Intention is to analyze activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care in Moscow in 2015-2019.Methodology. Using the automated information-analytical system “Disaster Medicine of the Moscow City”, activities of aviation medical teams over the last 5 years (2015-2019) were analyzed retrospectively in the Scientific and Practical Center of Emergency Medical Care. Ambulance helicopters are fully equipped to provide comprehensive intensive care for severely affected patients without noticeable deterioration of their condition, and utilization of this equipment was also assessed.Results and Discussion. Main stages of air ambulance formation in Moscow are described. Experience of aviation medical teams over the past 5 years in providing emergency medical care at the pre-hospital stage to those affected in emergency situations and severely ill patients is presented. The description of medical equipment of ambulance helicopters intended for providing emergency medical care to adults and children, including newborns, is given. The number of calls for aviation medical teams over the past five years is provided along with basic reasons and amount of night flights.Most often helicopters were used for transporting patients with severe concomitant and multiple injuries as a result of road accidents. Medical team composition of ambulance helicopters and the number of helipads on the territory of medical organizations of the city and the territories attached to Moscow are given.Conclusion. Based on the analysis of aviation medical teams activities, further ways to improve and develop the aviation medical service of the city of Moscow can be outlined to expand its use.
Relevance. The problem of organizing and providing emergency medical care during the medical evacuation of seriously injured in emergency situations who received burns remains relevant up to the present time. The effectiveness of the intensive care performed at the prehospital stage significantly affects the condition of patients and the outcome of the treatment. A fairly effective and safe way to evacuate victims in critical condition, including those with burns, is the use of air ambulance. At the same time, the preparation and management of patients subject to air medical transportation requires solving a number of problems during the flight.Intention. To analyze the results of the organization and implementation of intensive care over the past 8 years in seriously injured people with burns after emergencies during aeromedical evacuation by a light-class helicopter.Methodology. We analyzed data from the automated information and analytical system “Disaster Medicine of the city of Moscow” of the Moscow Territorial Scientific and Practical Center of Disaster Medicine (CEMP) of the Department of Healthcare of the City of Moscow concerning medical evacuation of patients with burns over the past 8 years (2014–2021). Historical, statistical, analytical methods were used in the study.Results and Discussion. The main causes of thermal injury are fires, which rank third in the number of events and the number of victims, and first in the number of deaths. In the structure of victims with thermal trauma, 26 % were in extremely serious and serious condition, of which 2 % needed artificial lung ventilation and tracheal intubation. Indications and features of artificial lung ventilation with tracheal intubation were determined for victims with thermal burns who were subject to medical evacuation by a light-class ambulance helicopter.Conclusion. Aeromedical transportation of a burn patient with adequate therapy is relatively safe and prognostically more effective compared to other methods of medical evacuation. When using flight crews with little experience in providing emergency medical care to victims with large burns, special attention should be paid to resuscitation and maintaining euthermia (maintaining human body temperature).
Представлены результаты ретроспективного многофакторного анализа работы авиамедицинских бригад (АМБр) территориального центра медицины катастроф (ТЦМК) г.Москвы. Сделаны выводы: использование вертолётов легкого класса в условиях г.Москвы позволило обеспечить быструю доставку АМБр к месту события, раннее начало оказания медицинской помощи пациентам, а также сократить время проведения медицинской эвакуации (МЭ); внедрение санитарных вертолетов в практику оказания экстренной медицинской помощи в мегаполисе значительно повысило оперативность работы Службы медицины катастроф (СМК) г.Москвы. Ключевые слова: авиамедицинские бригады, вертолеты легкого класса, санитарно-авиационная эвакуация, Служба медицины катастроф г.Москвы, территориальный центр медицины катастроф г.Москвы, чрезвычайные ситуации, экстренная медицинская помощь Конфликт интересов / финансирование Авторы статьи подтверждают отсутствие конфликта интересов / финансовой поддержки, о которых необходимо сообщить.
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