Actual Issues of Emergency Medical Care Organization in Various Modes of Activity

Гончаров, С.Ф.; Bystrov, M.V.; Bobiy, B.V.

doi:10.24884/2072-6716-2017-18-4-4-9

Cited by 6 publications

(10 citation statements)

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“…В настоящее время актуализация порядка и технологий выполнения указанной задачи определяется, прежде всего, созданием и обеспечением деятельности в составе Единой государственной системы предупреждения и ликвидации чрезвычайных ситуаций (РСЧС) Функциональной подсистемы медико-санитарной помощи пострадавшим при чрезвычайных ситуациях в организациях (на объектах), находящихся в ведении ФМБА России, а также в организациях и на территориях, обслуживаемых ФМБА России (далее -Функциональная подсистема ФМБА России), и другими обстоятельствами, изложенными в Сообщении 1 [1][2][3][4][5] [1].…”

Section: Introductionunclassified

Organization of Medical Care for Victims of Emergencies in Medical Organizations of the Federal Medical and Biological Agency. Message 2

Goncharov,

Akinshin,

Markov

et al. 2023

Disaster Medicine

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Summary. The aim of the study is to examine and analyze the state and procedure of implementation in medical organizations (MOs) of the Federal Medical and Biological Agency (FMBA of Russia) of significant organizational measures ensuring their readiness to provide medical care to victims during the elimination of the consequences of probable emergency situations at the served objects and territories. Materials and research methods. Materials of the study were regulatory and methodological documents of FMBA of Russia, regulating the order of organization of medical care for victims in emergency situations at facilities and territories served by FMBA of Russia; scientific works and publications on the subject of the study; special examination cards of 66 MOs of FMBA of Russia, filled out by medical specialists of MOs, including medical specialists of district medical centers of FMBA of Russia — data as of December 1, 2022. The surveyed MOs, regardless of their location and taking into account their functional capabilities, were divided into 3 levels (1st, 2nd and 3rd). The main objects of the study: the activity of MOs in creating mobile medical formations and units; readiness to perform medical triage of victims in emergencies; ability to conduct telemedicine consultations; equipment of MOs with medical devices and appliances used in the provision of medical care in emergencies. Research methods were statistical, sociological (method of expert evaluation) and analytical. Results of the study and their analysis. Mobile medical units are formed mainly on the basis of MOs of the 2nd and 3rd level. The specialization of a unit is determined by the availability of appropriate medical personnel in MOs, as well as by the peculiarities of the activities of the organization served. It has been established that the main factors that complicate the formation and provision of evacuation reception center activities during liquidation of medical and sanitary consequences of an emergency are: lack of equipment and personal protective equipment (PPE), lack of experience and proper regulatory and methodological support of activities in the emergency mode, etc. It was noted that medical specialists who have no experience of working under conditions of mass simultaneous arrival of patients or victims in emergency situations should be trained at special trainings and exercises to understand tasks and conditions of medical triage. Most MOs are ready to form up to 4 teams to perform medical triage in case of mass simultaneous arrival of patients. When analyzing the data on the availability of an irreducible stock of drugs and medical equipment to provide medical care to emergency victims, it was revealed that it was created and maintained only in 70-80% of MOs of the 1st-3rd level. It is concluded that the minimum stock of drugs and medical equipment should be created and maintained in each MO of FMBA of Russia and others.

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Section: Introductionunclassified

Organization of Medical Care for Victims of Emergencies in Medical Organizations of the Federal Medical and Biological Agency. Message 2

Goncharov,

Akinshin,

Markov

et al. 2023

Disaster Medicine

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“…Принципы организации оказания экстренной медицинской помощи (ЭМП) больным и пострадавшим в чрезвычайных ситуациях (ЧС) основаны на общих положениях системы охраны здоровья населения и оказания ему скорой медицинской помощи -СМП [1,2]. В нашей стране в рамках Федерального проекта «Развитие системы оказания первичной медико-санитарной помощи», включающего такие показатели, как доля лиц, госпитализированных по экстренным показаниям в течение первых суток, в общем числе пациентов, к которым были выполнены вылеты, а также число лиц (пациентов), дополнительно эвакуированных с использованием санитарной авиации, успешно реализуются мероприятия по развитию санитарной авиации [3].…”

Section: Introductionunclassified

“…Санитарно-авиационную эвакуацию выполняют на вертолёте «Ансат» компании «Русские вертолётные системы», оснащенном модулем медицинским вертолётным, что соответствует требованиям Федерального закона от 21 ноября 2011 г. №323-ФЗ 1 Характерная особенность нештатных специалистов, привлекаемых для доукомплектования авиамедицинских бригад -их недостаточная осведомлённость в вопросах авиационной медицины, авиационной эргономики и авиационной психофизиологии. Полёты санитарной авиации выполняются как над сушей, в том числе над горной местностью, так и над морем, в лечебные медицинские организации (ЛМО), расположенные на значительном расстоянии от аэродрома базирования (Симферополь).…”

Section: Introductionunclassified

Provision of Medical Assistance to Patients and Injured with the Use of Air Ambulance in the Republic of Crimea

Olefirenko¹,

Lyulko²,

Shvets³

2022

Disaster Medicine

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Summary. The aim of the study is to evaluate the work of aviation medical teams of the Territorial Disaster Medicine Center of the Republic of Crimea in the field of sanitary aviation evacuation and rendering emergency consultative medical aid to the patients and victims of emergencies. Materials and research methods. Materials of the study — service documentation on the work of the department of the emergency consultative medical aid of the territorial disaster medicine center of the Republic of Crimea in 2019-2021. Research methods – analytical and statistical. Results of the study and their analysis. Sanitary aviation evacuation of patients and victims of emergencies in the Republic of Crimea is performed on the Ansat helicopter by a full-time aviation medical team of resuscitation profile with attraction — if it is necessary — of other specialists. The results of the work of the sanitary aviation of the Republic of Crimea in 2019-2021 are presented. Based on the results of the study, proposals were made to improve the quality of air ambulance evacuations. Among them: organization of short-term courses on acquainting aviation medical teams members with basics of aviation medicine, aviation ergonomics and psychophysiology of flight crews’ activity; training of flight crew (pilot, navigator) in basics of air ambulance evacuation; conducting “on the ground” with non-members of aviation medical teams instructional lessons and trainings on the rules of airborne medical equipment operation, etc.

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“…среднего медицинского персонала; сформировано около 200 бри гад экстренного реагирования (БЭР); свыше 30 штатных и нештатных мобильных меди цинских отрядов; 1,5 тыс. бригад специализи рованной медицинской помощи (БрСМП) по 22 профилям [3].…”

Section: Introductionunclassified

Problematic issues of regulatory support of training and performance of non-staff healthcare professionals of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation

Lemeshkin

Bigunets

Belousov

et al. 2019

Med.-biol. soc.-psihol. probl. bezop. črezvyčajnyh situac.

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Relevance. The available unique experience of elimination of medical and sanitary consequences of emergency situations of natural, technogenic and social nature proves that the effectiveness of rendering medical care within or on the border of emergency area depends on timely arrival and actions of non-staff healthcare professionals of the All-Russian service for disaster medicine – crews for specialized medical care, physician-and-nurse crews. Directly during training and practical activities non-staff healthcare professionals face problematic issues affecting their readiness and quick response.Intention. To define the most significant problematic issues influencing work of non-staff healthcare professionals of the Service for disaster medicine of the Ministry of Defense of the Russian Federation on elimination of medical and sanitary consequences of emergency situations.Methodology. Content analysis of the facts and trends in the documents regulating activities of non-staff healthcare professionals of emergency formations was performed. Non-staff physicians were surveyed on problematic issues of training, practical activities and professional competence and importance of these issues ranked: “not important” – 1, “important” – 2, “very important” – 3 with assigning respective points.Results and Discussion. In the military-medical organizations of the central subordination, including the Kirov Military Medical Academy, emergency formations of Service for disaster medicine of the Ministry of Defense of the Russian Federation exist to strengthen (special-purpose) medical groups and medical institutions responsible for admitting casualties from emergency areas. An “average portrait” of a non-staff healthcare professional was as follows: male surgeon of 38.7±1.1 after a clinical internship, with an academic degree and experience in subject domain of 13.4 years. He has served (worked) at the Kirov Military Medical Academy and carried out functional duties on a constant basis, with experience more than two years as a part of physician-nurse or specialized medical care (thoracoabdominal) crew, with sufficient experience in elimination of medical and sanitary consequences of emergencies. At the same time during training and practical activities he faces a number of issues, such as labor relations and quality assessment of performance during elimination of medical and sanitary consequences of emergency situations, unsatisfactory resource and organizational support and also low readiness of all the non-staff members of the crew.Conclusion. Besides problematic issues of labor relations in emergency formations, the factors influencing training, performance and professional competence of non-staff healthcare professionals were defined, i.e. special equipment for medical evacuation (sanitary aviation); unsatisfactory facilities intended for elimination of medical and sanitary consequences of emergencies; medical equipment in emergency areas. As a result of the analysis, all the problematic issues were limited to 3 fundamental internal (hidden) factors influencing training, performance and professional competence of healthcare professionals at the Kirov Military Medical Academy: “Basic resources” (22.05%), “Shortcomings in daily activities” (11.9%), “Readiness for actions” (10.4%). To minimize the specified problematic issues, various (alternative) options are suggested.

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Actual Issues of Emergency Medical Care Organization in Various Modes of Activity

Cited by 6 publications

References 0 publications

Organization of Medical Care for Victims of Emergencies in Medical Organizations of the Federal Medical and Biological Agency. Message 2

Organization of Medical Care for Victims of Emergencies in Medical Organizations of the Federal Medical and Biological Agency. Message 2

Provision of Medical Assistance to Patients and Injured with the Use of Air Ambulance in the Republic of Crimea

Problematic issues of regulatory support of training and performance of non-staff healthcare professionals of the Disaster Medicine Service of the Ministry of Defense of the Russian Federation

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