Problems of Organizing and Conducting Medical Evacuation in Emergency Situations with Large Numbers of Victims

Baranova, N.N.; Baryshev, S.B.; Goncharov, S.F.; Isaeva, Irina; Titov, I.G.; Chubayko, V.G.

doi:10.33266/2070-1004-2020-2-52-61

Cited by 3 publications

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“…В последние годы отмечается значительное совершенствование технологий, форм и методов работы медицинских сил и средств ВСМК в режиме чрезвычайной ситуации, приведение их организационной структуры, оснащенности и уровня подготовленности медицинского персонала в соответствие с современными требованиями [4,5].…”

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Forces and Means of Sakhalin Oblast Disaster Medicine Service for Medical and Evacuation Support of Victims of Emergencies

Markov¹,

Samoylov²,

Goncharov³

2023

Disaster Medicine

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Summary. The aim of the study is to investigate problematic issues of organizing the elimination of medical and sanitary consequences of emergency situations in Sakhalin region; to analyze the state of provision of medical services to the population. Study materials and methods. Materials of research: scientific works and publications, normative and methodical documents, statistical data, exercise materials, etc. When performing the study, methods of logical and information modeling, comparison, description were used. Results of the study and their analysis. The mechanism and sequence of actions during elimination of medical and sanitary consequences of emergencies in Sakhalin oblast were studied. The provision of medical services to the population in emergencies has been analyzed. Proposals for further improvement of medical and evacuation support of the population in emergencies have been made.

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Forces and Means of Sakhalin Oblast Disaster Medicine Service for Medical and Evacuation Support of Victims of Emergencies

Markov¹,

Samoylov²,

Goncharov³

2023

Disaster Medicine

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“…Как показывает практика (анализ решений кейсов), возникновение ЧС с большим числом пострадавших в отдаленных районах приводит к непониманию вышестоящим руководством целесообразности поддержания в готовности и необходимости дорогостоящего оснащения ММФ, развития системы трассовых пунктов, активного применения санитарной вертолетной авиации и принятия других мер, что, в свою очередь, сопровождается дефицитом региональной нормативной правовой базы в этой части, особенно в условиях реорганизации системы здравоохранения. В таких случаях инициативный характер деятельности руководителя по развитию Службы медицины катастроф в своем регионе, по разработке нормативной правовой базы, его лидерство как пример для своей команды, развитие связей, заключение договоров, подписание соглашений о межрегиональном и межведомственном взаимодействии будут лежать в основе профилактики, выявления и минимизации рисков при проведении ЛЭМ при возникновении ЧС с большим числом пострадавших в отдаленных районах, наращивания внутреннего кадрового и материально-технического потенциала, что в конечном итоге является основой развития системы менеджмента качества выездных форм работы в ЧС [1][2][3].…”

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Routing Problems during Medical Evacuation of Victims in Emergency Situations: Results of SWOT Analysis of Solutions of Situation Tasks in Suburban and Remote Areas. Message 2

Baranova¹

2021

Disaster Medicine

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The purpose of the study is to analyze and to evaluate the decisions of specialists of the Disaster Medicine Service of the regions on the application of routing principles during medical evacuation of victims in emergency situations and to identify ways to improve the quality and efficiency of medical evacuation measures in emergencies with a large number of victims arisen in suburban – up to 50 km from the city – zone and in remote – more than 50 km from the city – area. Materials and research methods. The materials of the study were 85 variants of solutions to the situational task «100 affected». The task had different structure of lesions in their localization and severity, different proportion of adults and children and variants of the place of occurrence of emergency situations. The tasks solutions were analyzed using case study technology and SWOT analysis method. Research results and their analysis. Medical specialists who took part in solving situational tasks-cases and experts from the Headquarters of the All-Russian Disaster Medicine Service revealed a fairly large number of factors affecting the quality of medical evacuation measures in emergencies. These factors in relation to SWOT analysis can be structured into «internal» (strengths and weaknesses) and «external» – enlarging opportunities for high-quality medical evacuation measures and reducing their risks. Analysis of the identified factors in relation to medical evacuations in emergencies revealed strengths and weaknesses of each option: — prevalence of «internal» strengths during medical evacuation in an emergency in the city, and the presence of certain risks – see Message 1 – option No. 1; — similar positions are determined during medical evacuation in an emergency in a suburban area, but with a number of differences affecting routing – Message 2 – option No. 2; — in an emergency in a remote area, a large number of «internal» weaknesses and «external» risks are compensated by available opportunities – Message 2 – option No. 2. For all emergency conditions, a weighted score of factors is given. As a result, the goal of the SWOT analysis was achieved – ways to improve treatment and evacuation measures were identified to develop strategies for «breakthrough», «development», «defense» and «containment» in each scenario of emergencies.

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Surgical treatment of a patient with mine blast abdominal injury complicated by damage to the duodenum

Барышев¹,

Богданов²,

Grigorov³

et al. 2021

Khir. Z. im. N.I. Pirogova

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Problems of Organizing and Conducting Medical Evacuation in Emergency Situations with Large Numbers of Victims

Cited by 3 publications

References 0 publications

Forces and Means of Sakhalin Oblast Disaster Medicine Service for Medical and Evacuation Support of Victims of Emergencies

Forces and Means of Sakhalin Oblast Disaster Medicine Service for Medical and Evacuation Support of Victims of Emergencies

Routing Problems during Medical Evacuation of Victims in Emergency Situations: Results of SWOT Analysis of Solutions of Situation Tasks in Suburban and Remote Areas. Message 2

Surgical treatment of a patient with mine blast abdominal injury complicated by damage to the duodenum

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