Medical Evacuation of Victims With Polytrauma. Organizational Issues. Message 1

Goncharov, S.F.; Akin’shin, A.V.; Bazhenov, M.I.; Baranova, N.N.; Bobiy, B.V.; Byzov, A.V.; Guseva, O.I.; Мешков, М А; Savvin, Yu.N.; Chernyak, S.I.

doi:10.33266/2070-1004-2019-4-43-47

Cited by 6 publications

(1 citation statement)

References 1 publication

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“…Пострадавшие с политравмой в обязательном порядке и в кратчайшие сроки -не позднее 24 ч с момента её получения -должны быть госпитализированы в травмоцентры I уровня или в федеральные специализированные лечебные учреждения, поскольку выполнение лечебнодиагностических мероприятий таким контингентам в центральных районных больницах (ЦРБ) часто приводит к росту летальности [1][2][3]. Проведение межбольничной медицинской эвакуации пострадавших с тяжелыми высокоэнергетическими повреждениями требует четкого и отлаженного взаимодействия всех заинтересованных структур субъекта Российской Федерации (далее -субъект) с обязательным соблюдением установленной в данном субъекте маршрутизации и проведением мониторинга состояния пострадавших [4 -7].…”

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Inter-Hospital Medical Evacuation of Victims of Road Accidents on the Federal Highway M-8 "Kholmogory" in the Arkhangelsk Region

Баранов¹

2020

Disaster Medicine

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The purpose of the study is to evaluate the inter-hospital medical evacuation of victims of road accidents on the Federal highway M-8 "Kholmogory" in the Arkhangelsk region to determine ways of further improvement. Materials and methods of research: a retrospective study is carried out of 112 medical records of victims of accidents on the FAD M-8 "Kholmogory" in the Arkhangelsk region, evacuated for urgent reasons in the period from 01.01.2012 to 31.12.2018 from the Central district hospitals (CRH) to the Arkhangelsk regional clinical hospital – trauma center level I. Research results and their analysis. There was an increase in the number of cases of inter-hospital medical evacuation of victims of accidents on the FAD M-8 "Kholmogory", especially its sanitary aviation component-by 2018; all evacuees had severe polytrauma, the vast majority of them were evacuated from the CRH to the level I trauma center within the first day. The need is substantiated to equip a helipad, purchase a helicopter, create full-fledged emergency response teams, and organize routing of victims of accidents on the FAD M-8 Kholmogory in the Shenkursky and Velsky districts of the Arkhangelsk region to the Velsky CRH-level II trauma center.

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Inter-Hospital Medical Evacuation of Victims of Road Accidents on the Federal Highway M-8 "Kholmogory" in the Arkhangelsk Region

Баранов¹

2020

Disaster Medicine

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The official rhetoric and legal construction of the phenomenon of cultural industries in Russian regions

2020

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The article presents a study of the peculiarities of legal regulation of the development of the regional creative industry cluster in the Saratov and Ulyanovsk regions through the analysis of materials of federal laws, strategic documents for the development of regions, regulatory and legal acts aimed at supporting socio-economic development, regulation of investment and innovation, entrepreneurship in the cultural sectors industries based on data obtained by content analysis. The concept of “creative industries” has not been fixed in the Russian legal field, although it is embedded in the rhetoric of the executive branch of individual regions in software solutions for the development of their innovative potential, urban comfortable environment, small and medium-sized businesses. The study is based on an analysis of categories such as creative industries, creative clusters, and spatial development. The purpose of the study is formulated at the intersection of the problem field, including the representation of the concepts in question in official documents, programs, regulatory acts as management mechanisms and systemic support for the sphere of culture and art, creative entrepreneurship. To achieve the goal, content analysis was used. In the framework of this method, legal and strategic documents of the federal, regional and municipal levels in the field of cultural policy, culture and art, socio-economic development, outlined by the time interval from 1991 to 2019, were selected. The units of content analysis are culture, creativity, creativity, entrepreneurship, social and economic security, innovative development, investment activity, spatial and regional development. The selected categories were analyzed taking into account the specifics of territorial management and regulation of the sphere of culture and art. During the analysis of official documents, thematic areas were identified that determine the semantic field of creative industries, including the legal field of culture, spatial and innovative development of regions as a potential for the development of clusters of creative industries, regional features of including creative industries in the agenda of socio-economic development of Russian entities. Based on the results of the study, conclusions are drawn that the institutionalization of creative practices related to economic activity is gradually acquiring formal relations, making the segment of creative and creative industries visible to regional entrepreneurs and governments. At the same time, the concept of creative industries at the moment has not received due attention from the legislative and executive authorities. Outside of discussions are questions of the development of creative clusters and the conditions for their functioning within the framework of cluster policy. This, in turn, makes sustainable discussions about the residual principle of financing the sphere of culture and art, maintaining the discourse on culture and art in the aspect of preserving traditions, values, social norms and expectations of the state and population.

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The concept of a portable isolated robotic medical module for evacuation of the sick and injured

Гончаров

Sokolov

Baranova

et al. 2020

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

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Relevance. In our country, as part of the digitalization of healthcare, a number of organizational decisions have been made and are being implemented to optimize the medical evacuation of the sick and injured in emergency situations. The digital transformation of healthcare in order to address the issues of treatment correction, patient transportability and the feasibility of medical evacuation to the greatest degree is realized so far only in the form of telemedicine consultations. At the same time, the latest developments can already be applied, allowing the use of advanced information technologies, including artificial intelligence technologies, for each sick or injured during medical evacuation in the prehospital and hospital periods in the event of emergency response and during everyday work. One of such developments could be the creation of a portable isolated robotic medical module.Intention: To justify the concept of a portable, isolated robotic medical module for the medical evacuation of the sick and injured using advanced medical digital technologies.Methodology. Based on an analysis of the advanced medical equipment, medical materials, digital medical technologies, many years of comprehensive in-house experience in medical evacuation, an information and patent search was conducted for conceptual solutions to create a portable isolated robotic medical module (Module) for medical evacuation of the sick and injured in the daily life and emergency situations.Results and Discussion. A key solution to the problem is to implement the following original ideas. Firstly, it is the “block” principle of layout of the Module structure. In the first (upper) block, robotic diagnostic and medical equipment, control systems and telemetry communications are installed. If you need to work offline, the unit is protected from external influences. The second (middle) block is designed to accommodate a patient who receives medical care. The unit can be completely isolated from the external environment, a comfortable internal environment is created and elements of a video communication system are placed. The third (lower) block contains systems for patient’s life support and autonomic operation, and can be delivered on board the vehicle separately from the first and second blocks. The mass of the third block is not critical for the mass of theModule as a whole. Secondly, there is an idea of using special removable and replaceable shells to isolate the Module from adverse weather conditions. It is possible to use a removable cover made of protective materials. For the conditions of the Far North, these are heat-conserving materials, for the conditions of armed conflict - para-aramid fiber (Kevlar). Thirdly, ergonomic location of medical equipment above the patient provides convenient maintenance of equipment for medical manipulations. In this case, observation and treatment are not interrupted when moving the patient from one vehicle to another.Conclusion. Advanced digital medical technologies in the medical evacuation of the sick and injured within the concept of a portable, isolated, robotic medical module can significantly reduce risks and apply a patient-oriented approach during the medical evacuation of each patient. This makes a significant contribution to the development of medical evacuation and practical medicine.

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Medical Evacuation of Victims With Polytrauma. Organizational Issues. Message 1

Cited by 6 publications

References 1 publication

Inter-Hospital Medical Evacuation of Victims of Road Accidents on the Federal Highway M-8 "Kholmogory" in the Arkhangelsk Region

Inter-Hospital Medical Evacuation of Victims of Road Accidents on the Federal Highway M-8 "Kholmogory" in the Arkhangelsk Region

The official rhetoric and legal construction of the phenomenon of cultural industries in Russian regions

The concept of a portable isolated robotic medical module for evacuation of the sick and injured

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