Retrospective Multifactor Analysis of Activity of Aeromedical Teams of Territorial Center for Disaster Medicine of Moscow

Gumenyuk, S.A.; Fedotov, S.; Potapov, V. I.; Teryaev, V.G.; Agafonov, S.A.

doi:10.33266/2070-1004-2019-1-47-49

Disaster Medicine

2019

DOI: 10.33266/2070-1004-2019-1-47-49

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Retrospective Multifactor Analysis of Activity of Aeromedical Teams of Territorial Center for Disaster Medicine of Moscow

S.A. Gumenyuk¹,

S. Fedotov²,

V. I. Potapov³

et al.

Abstract: 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 значит… Show more

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Criteria for choosing the method of inter-hospital transportation of patients with severe trauma

Kasimov¹,

Makhnovskiy

Завражнов

et al. 2022

Skor. med. pomoŝʹ

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Objective: substantiate the criteria for choosing a method for inter-hospital transportation of patients with severe trauma for the territorial system of medical support for the troops of the Western Military District.Materials and methods. We studied 121 cases of inter-hospital transportation of patients with severe trauma in the territorial system of medical support for the troops of the Western Military District for the period 2015–2020. The time of inter-hospital transportation of patients by an ambulance car of class C and by helicopter was studied at various distances between medical organizations: up to 70 km, from 70 to 200 km, more than 200 km.Results and discussion. At distances between medical organizations of more than 200 km, the average time of medical aviation evacuation of patients with severe injuries by helicopter was 176±35 minutes, and the average time of medical evacuation of patients in a class C ambulance was 290±43 minutes (p=0,04). When the distance between medical organizations is less than 200 km, the average time of medical aviation evacuation of patients with severe trauma by helicopter was 126±43 minutes, and the average time of medical evacuation of patients in a class C ambulance was 137±37 minutes (p=0,85).Conclusions. The main factor in choosing a method for carrying out inter-hospital transportation of patients with severe trauma in the territorial system of medical support for the troops of the Western Military District is the distance between medical organizations. It is advisable to plan medical aviation evacuation of patients with severe trauma by helicopter when the distance between medical organizations is more than 200 km.

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Criteria for choosing the method of inter-hospital transportation of patients with severe trauma

Kasimov¹,

Makhnovskiy

Завражнов

et al. 2022

Skor. med. pomoŝʹ

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show abstract

Experience of air medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for 2015—2019

Gumenyuk

Fedotov

Potapov

et al. 2020

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

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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.

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Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients

Гуменюк

Sheptunov

Potapov

2021

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

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Relevance. Acute respiratory failure (ARF) and acute cardiopulmonary failure (ACPF) are unavoidable, and often – the leading syndromes in any critical condition, especially in case of multiple organ failure syndrome as a regular stage in the course of previously incurable conditions. Even a full range of intensive care measures in this category of patients does not always give the desired result. According to various authors, with the development of acute respiratory distress syndrome, the mortality rate reaches 80 %.Intention is to determine the role of the aviation medical teams of the emergency medical service-disaster medicine in ensuring the timely availability of high-tech methods for patients who need them, regardless of the patient’s location.Methodology. Activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for the medical evacuation of patients and victims in emergency situations with ARF and ACPF were analyzed.Results and Discussion. There were analyzed interactions of aviation medical teams with the emergency medical response units of the territorial center for disaster medicine and with medical organizations during the medical evacuation of patients with ARF and ACPF. An algorithm and a scheme of interaction between air medical teams are proposed to optimize medical evacuation of these patients.Conclusion. An analysis of the activities of air medical teams revealed their advantages in providing care for patients with ARF and ACPF.

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Retrospective Multifactor Analysis of Activity of Aeromedical Teams of Territorial Center for Disaster Medicine of Moscow

Cited by 4 publications

References 0 publications

Criteria for choosing the method of inter-hospital transportation of patients with severe trauma

Criteria for choosing the method of inter-hospital transportation of patients with severe trauma

Experience of air medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for 2015—2019

Interaction of aviation medical teams with ambulance, emergency medical care teams and hospitals in the management of mechanically ventilated patients

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