To Issue of Organizational Model of Functioning of Regional Center for Emergency Medical Care and Disaster Medicine of Russian Federation Subjects

Bystrov, M.V.; Гончаров, С.Ф.

doi:10.33266/2070-1004-2019-4-5-10

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…В последние годы в российском здравоохранении происходят значительные перемены, идет процесс внедрения новых организационных, информационных, медицинских технологий, принимаются меры по совершенствованию организации и оказания медицинской помощи в экстренной форме. Вопросам совершенствования организации и оказания медицинской помощи пострадавшим в ЧС, осуществления их медицинской эвакуации в ЛМО, совершенствования деятельности ВСМК и Службы посвящен ряд научных работ специалистов Всероссийского центра медицины катастроф «Защита» (ВЦМК «Защита»), членов Профильной комиссии Минздрава России по медицине катастроф и Общероссийской общественной организации специалистов в сфере медицины катастроф [4][5][6][7][8][9].…”

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Results of Study of Organization of Medical Care Providing to Victims of Emergency Situations in Modern Conditions. Message 1

Bystrov¹

2020

Disaster Medicine

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Резюме. Представлены результаты научного исследования, проведенного во Всероссийском центре медицины катастроф «Защита» (ВЦМК «Защита») по актуальным вопросам совершенствования организации оказания медицинской помощи пострадавшим в чрезвычайных ситуациях (ЧС) и деятельности Службы медицины катастроф Минздрава России (далее-СМК, Служба) в современных условиях. Цель исследования-разработать и обосновать систему организации оказания медицинской помощи пострадавшим в ЧС в современных условиях. Материалы и методы исследования. При проведении исследования использованы методы экспертной оценки и статистического анализа. Проведено анкетирование 287 экспертов в области организации и оказания экстренной медицинской помощи и медицины катастроф из различных субъектов Российской Федерации (субъекты). Результаты исследования и их анализ. С учетом анализа мнения экспертов, сформулирован ряд принципиальных положений системы организации оказания медицинской помощи пострадавшим в ЧС в современных условиях в Российской Федерации, а также внесены обоснованные предложения по дальнейшему совершенствованию деятельности СМК, в том числе по развитию организационной структуры, внедрению новых организационных моделей функционирования Службы на региональном уровне. В сообщении 1 представлены результаты изучения экспертной оценки по вопросам, имеющим отношение к системе организации оказания медицинской помощи пострадавшим в ЧС в современных условиях.

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Results of Study of Organization of Medical Care Providing to Victims of Emergency Situations in Modern Conditions. Message 1

Bystrov¹

2020

Disaster Medicine

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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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Organization of a system of medical evacuation support for victims in emergency situations at facilities and territories serviced by the of Federal Medical Biological Agency of Russia in the Arctic Zone: status, problematic issues, solutions

Самойлов

Aleksanin

Гончаров

et al. 2022

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

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Relevance. Development of the Arctic Zone of the Russian Federation in the framework of the implementation of the provisions of the Presidential Decree No 645 of 26.10.2020 “On the Development Strategy of the Arctic Zone of the Russian Federation and ensuring national security until 2035” obliges to develop and to thoroughly improve the organization of medical and evacuation support of permanent and visiting population as well as of temporarily working personnel of this territory, in emergencies of different genesis.Intention. To elaborate and to substantiate the proposals on further improvement of the system of medical and evacuation support for the victims of emergencies in the Arctic Zone of the Russian Federation.Methodology. Normative and methodical documents regulating the organization of medical and evacuation support of the victims of emergencies in the Arctic Zone of the Russian Federation, results of interdepartmental experimental research training carried out in 2021, actual data on the capabilities of medical and evacuation support by medical treatment organizations in the Arctic Zone of the Russian Federation have been analyzed.Results and Discussion. Analysis of the current interdepartmental system of medical and evacuation support of the victims of emergencies in the Arctic Zone of the Russian Federation revealed typical conditions influencing its further development, which include: imperfect legislative base regulating the procedure of involvement of interdepartmental medical forces and assets for organization of medical and evacuation support of victims in emergencies; considerable distance between island and continental parts of the Arctic Zone of the Russian Federation, between seaports and large settlements with medical treatment organizations, between facilities with high risks of emergencies; extreme natural and climatic factors; underdeveloped transport communications — a network of airfields and airstrips, railways and roads, which are usually impassable for conventional ambulance transport; huge distances to economically developed areas of the continental part of the country, where specialized medical centers are located.The article presents the substantiated proposals for further improvement of organization of medical and evacuation support for the victims of emergencies in the Arctic Zone of the Russian Federation; for creation and involvement of mobile medical units; for development of the medical evacuation system, including sanitary aviation, and of its material and technical base, of robotic modules of medical evacuation; for training of medical personnel for the work in the Arctic Zone of the Russian Federation.Conclusion. The authors formulated the main directions of the development of interdepartmental cooperation within the framework of the All-Russian Disaster Medicine Service for further improvement of the medical evacuation support for the victims of emergencies in the Arctic Zone of the Russian Federation.

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To Issue of Organizational Model of Functioning of Regional Center for Emergency Medical Care and Disaster Medicine of Russian Federation Subjects

Cited by 3 publications

References 3 publications

Results of Study of Organization of Medical Care Providing to Victims of Emergency Situations in Modern Conditions. Message 1

Results of Study of Organization of Medical Care Providing to Victims of Emergency Situations in Modern Conditions. Message 1

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

Organization of a system of medical evacuation support for victims in emergency situations at facilities and territories serviced by the of Federal Medical Biological Agency of Russia in the Arctic Zone: status, problematic issues, solutions

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